ArticleCureus2025
Epidemiology and Outcomes of Intramedullary Nailing for Tibial Diaphyseal Fractures: A Retrospective Multicenter Cohort Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07554079 (Standard Versus Short Course Prophylactic Antibiotic in Femur and Tibia Shaft Fractures Managed With Intramedullary Interlocking Nail), which is not on this map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Standard Versus Short Course Prophylactic Antibiotic in Femur and Tibia Shaft Fractures Managed With Intramedullary Interlocking Nail: A Prospective Randomized Comparative Study Using the ASEPSIS Score
Who cites it
2 citing papers in PubMed.
- Interface stability of intramedullary nail locking configurations under combined axial and torsional loading.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Finite Element Analysis of Von Mises Stress in External Fixators for Open Tibial Fractures: A Comparative Study of ASTM F1541-02 and Tibia-Based Models in Indonesian Patients.Healthcare technology lettersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntramedullary nails (IMN) are frequently used to fix tibial diaphyseal fractures. Despite good outcomes, complications such as infections, malunion, and nonunion may still occur, especially in low- and middle-income countries where healthcare resources and trauma care systems are often limited. This retrospective multicenter cohort study aimed to evaluate the epidemiology and clinical outcomes of IMN in tibial diaphyseal fractures in Brazil in terms of consolidation and complications. MATERIALS AND
methodsWe analyzed data from 125 patients who underwent IMN for fixation of tibial diaphyseal fractures between August 2020 and January 2024 at two Brazilian hospitals.
resultsTraffic accidents were the most common injury mechanism (84%), and closed fractures accounted for 80.8% of the cases. Most patients (98.4%) achieved fracture consolidation within six months post-surgery, with a low complication rate (3.2%), including two nonunions with screw breakage, one malunion, and one infection. There was a significant association between previous external fixation and the type of fracture (closed and open). However, there was no significant association between previous external fixation and consolidation one year post-surgery.
conclusionThe findings suggest that IMN is effective in achieving consolidation and low complication rates in Brazilian hospitals.
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Registered trials
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