Tibial fractures

Summary

This report suggests that time to union may be faster and the proportion of patients with nonunion lower with the use of reamed compared with unreamed nails. The rate of complications appears to be similar between groups.
Additional studies with stronger methods and adequate power, that measure patient function and quality of life, should be performed to substantiate these findings and provide more definitive evidence regarding advantages of reamed versus unreamed nailing of tibial fractures.