Work

Surgical Treatment of Tibial Stress Fracture: Nail X Plate

Year: 2025

Type: article

Abstract: To analyze and compare two surgical treatment methods for tibial stress fractures: intramedullary nailing and tension plate, taking into account functional outcomes and postoperative results. This systematic review was conducted and written in accordance with the guidelines for systematic reviews - PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The bibliographic search was carried out between January and September 2024 in journals indexed in the PubMed, Lilacs, Cochrane and Embase databases. Ten studies were selected. Among them, five were case reports, four were case series, and one was a retrospective cohort study. Intramedullary nailing offers good stabilization and a gradual return to sports activities, but it can cause complications such as knee pain and additional fractures. The anterior tension plate, on the other hand, provides effective stabilization with less anterior knee pain and faster healing times, but it is more invasive and may require implant removal and intensive rehabilitation. The choice between intramedullary nailing and tension plate should be based on a detailed assessment of the individual characteristics of the patient, the nature of the fracture, and the potential risks associated with each technique.

Source: Acta Ortopédica Brasileira

DOI: 10.1590/1413-785220253305e290433

Authors: Paulo Henrique Schmidt Lara, Guilherme Leme Cabello, Danilo Cabral Domingues, Daniel Costa Bezerra, Antônio Bezerra de Albuquerque Filho, Paulo Santoro Belangero

Institution: Universidade Federal de São Paulo

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600