Primary dynamization versus standard static interlocking nailing in treatment of tibial shaft fractures in adults: a randomized controlled trial.

ABSTRACT:

Background

Interlocking nail (ILN) is gold standard for fixation of tibial shaft fractures in adults. Delayed union and non-union of tibial shaft fractures requiring secondary dynamization are high even with modern ILN techniques. There is no consensus to which dynamization technique has better outcomes and fewer complications. The purpose of this randomised controlled trial (RCT) was comparison of functional and radiological outcomes of primary dynamization without proximal locking screws versus standard static ILN in treatment of middle or distal thirds tibial shaft fractures in adults.

Methods

This RCT study was conducted on 40 adult patients with middle or distal third tibial shaft fractures, treated by primary dynamization ILN without proximal locking (group A) or stand

SUBMITTER: Elsayed M 

PROVIDER: S-EPMC12817736 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature