A prospective, randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distal metaphyseal fractures of the tibia
2011

Evaluating Randomized Controlled Trials

Sample size: 85 publication Evidence: moderate

Author Information

Author(s): Guo JJ, Tang N, Yang HL, Tang TS

Conclusion

The study suggests that closed intramedullary nailing may be the superior procedure for treating distal metaphyseal fractures compared to minimally invasive plate osteosynthesis.

Supporting Evidence

  • The study involved 85 patients and compared two surgical techniques.
  • Significant differences in operating time and radiation exposure were noted.
  • Follow-up was only completed for 85 out of 111 enrolled subjects.

Takeaway

This study looked at two ways to fix broken bones and found that one method might work better, but we need to be careful because not everyone was followed up.

Methodology

The study was a randomized controlled trial comparing two surgical methods in patients with distal metaphyseal fractures.

Potential Biases

There was potential bias due to lack of blinding and unclear randomization details.

Limitations

The study had a significant loss to follow-up, with only 85 out of 111 subjects completing the study.

Participant Demographics

Patients with distal metaphyseal fractures, specific inclusion/exclusion criteria applied.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.4103/0019-5413.80036

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