Comparison of Healing Measures in Diaphyseal Tibial Fractures Following Standard Intramedullary Nailing or Micromotion Tibial Intramedullary Nailing
University of Alabama at Birmingham
Summary
The primary purpose of this study is to perform a high-quality randomized control trial comparing intramedullary tibial nail fixation with standard design nails to a micromotion tibial nail device, to evaluate the rates of union and post-operative outcomes.
Eligibility
- Age range
- 18–85 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Age 18 - 85 years * Stable Tibial fracture recommended for surgical intervention Exclusion Criteria: * Patients not meeting inclusion criteria * Unstable fracture patterns e.g. those needing a secondary intervention - masquelet/cement spacer) * Previously non-ambulatory patients * Delayed presentation of fracture (\>4 weeks) * Fractures that the treating surgeon indicates requires additional fixation strategies to achieve stability * Patients with an achieve infection or wound at the surgical site * Any previous ligament or fracture surgery on the index site * Inflamma…
Interventions
- Proceduremicromotion intramedullary nail cohort
use of at least 2 distal interlocking screws and the use of a minimum of 1 proximal tibial interlocking screw
- Procedurestandard intramedullary nail cohort
use of at least 2 distal interlocking screws and the use of a minimum of 1 proximal interlocking screw
Location
- University of Alabama at Birmingham Main HospitalBirmingham, Alabama