Intramedullary nailing versus locking plate fixation for proximal humerus fractures: a systematic review and meta-analysis of randomized controlled trials.
Oct 2026· Musculoskeletal surgery· 0 citations· 28 references
Medicine
TL;DR
Intramedullary nailing and locking plate fixation provide no statistically significant difference in functional and clinical outcomes for PHFs, and further high-quality randomized studies are needed to clarify whether specific patient or fracture subgroups may benefit from one fixation strategy over the other.
Background: Extra-articular distal third tibial fractures remain challenging due to the region's anatomical characteristics and limited blood supply, with persistent controversy regarding the optimal fixation method between intramedullary nailing (IMN) and plate fixation.
Methods: This prospective randomized comparativ...
Abhishek Ojha, Devarsh Goyal, Vicky Kumar· International Journal of Res...· 0 citations
Background: The optimal fixation method for humeral shaft fractures remains debated. This study compared functional and clinical outcomes after intramedullary nailing (IMN) and open reduction and internal fixation (ORIF) with plate fixation.Methods: In this prospective, observational, comparative cohort study, 85 adult...
Erfan Eslami, A. Pourmojarab, Hassan Barati et al.· Journal of Orthopedic and Sp...· 0 citations
PURPOSE
The optimal fixation for metacarpal shaft fractures remains a topic of debate. This study compares clinical outcomes of three fixation methods-closed reduction with percutaneous Kirschner wire pinning, open reduction internal fixation (ORIF), and intramedullary fixation (IMN)-focusing on time to motion, range o...
Zachary N. Jodoin, W. Walsh, Doha G. Hussien et al.· Journal of Hand Surgery-Amer...· 0 citations
Although EIN was associated with shorter operative time and lower blood loss, SLP demonstrated superior early functional outcomes, including better knee ROM recovery and higher rates of excellent Flynn scores, suggesting a functional advantage in pediatric length-stable femoral shaft fractures.
Mohammed G. Abdelalem, N. Ghaly, T. Fayyad et al.· Journal of Musculoskeletal S...· 0 citations
Background: Open tibial shaft fractures are challenging injuries with substantial risks of infection, delayed union, and functional impairment. Primary locked intramedullary nailing (PLIN) and Ilizarov fixation are commonly used definitive treatment options. The objective of the study is to compare the clinical, radiol...
M. Rahman, Shankar Kumar Roy, Muhammad Baqi Billah et al.· International Journal of Res...· 0 citations
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