
Trauma
Reamed and minimally reamed nailing display no difference in clinical outcome
This report has been verified
by one or more authors of the
original publication.
Injury. 2011 Sep;42 Suppl 4:S17-21. doi: 10.1016/S0020-1383(11)70007-9
100 patients were randomized to examine whether minimal reaming would lead to similar beneficial effects as extensive reaming in the treatment of closed tibial fractures. Patients received either reamed nailing (up to 12 mm inserting an 11 mm tibial nail) or minimally reamed nailing (up to 10 mm inserting a 9 mm tibial nail). Assessment at 52 weeks revealed that there was no difference in clinical outcome between the two treatments. However, there appeared to be a tendency towards earlier fracture healing in the conventional/extensive reamed group.
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