August 15, 2025CureusOpen Access

Plate Versus Intramedullary Nail Fixation for Distal Fibula Fractures: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

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Authors

BCBenjamin J. CookUniversity College Hospital NPNeal C. PatelRutgers, The State University of New Jersey SNSandeep Krishan NayarBarts Health NHS Trust

Discussion

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Implication

Systematic review assesses functional outcomes and cost-effectiveness in adults with distal fibula fractures, suggesting similar profiles for both fixation methods.

Key Points

Functional recovery is comparable between intramedullary nail and plate fixation for distal fibula fractures, indicating no significant preference.
Patient-reported outcomes showed no significant differences in functional scores at 24 months, supporting similar recovery times for both methods.
Analysis of five randomized controlled trials involving 455 patients reveals similar complication and union rates between the fixation techniques.
Cost benefits may favor intramedullary nail fixation in specific populations despite higher initial costs, highlighting the need for further exploration.

Cite This Study

Cook et al. (2025) studied this question.

synapsesocial.com/papers/68af707c7567bf4f94fec616 https://doi.org/10.7759/cureus.90130

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Implication

Systematic review assesses functional outcomes and cost-effectiveness in adults with distal fibula fractures, suggesting similar profiles for both fixation methods.

Plate Versus Intramedullary Nail Fixation for Distal Fibula Fractures: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Discussion

Member takes

Implication

Key Points

Cite This Study

Plate Versus Intramedullary Nail Fixation for Distal Fibula Fractures: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Discussion

Member takes

Implication

Key Points

Cite This Study

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