TRAUMA
Lower rate of nonunion with reamed vs. unreamed IM nailing for closed tibial fractures
Orthopedics. 2014 Apr 1;37(4):e332-8Nine studies (randomized controlled trials or quasi-RCTs) were included in this meta-analysis comparing reamed and unreamed intramedullary nailing for closed tibial fractures. Of note, pooled nonunion rate was significantly lower for reamed intramedullary nailing vs. unreamed nailing. Additionally, rates of secondary surgeries, particularly implant exchange and dynamization, were also lower with reamed nailing. Pooled incidences of infection, compartment syndrome, and postoperative knee pain were similar between reamed and unreamed intramedullary nailing.
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