Abstract
Ninety-nine patients with displaced, isolated fractures of the tibial shaft were treated with closed reduction and either a cast (n = 52) or intramedullary (IM) nailing (n = 47). Of the patients that returned for long-term follow-up, 25 matched pairs of patients were identified and compared with regard to time to union, function, and return to work. All outcomes studied were significantly better following IM nailing compared with those following management with a cast. Function was better and fewer complications were seen in the IM nailing group compared with those who received casting.
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