Meta-Analysisvery high evidence
Retrograde intramedullary nailing versus locked plate fixation for distal femur fractures: A systematic review and meta-analysis of randomised controlled trials only.
Injury·July 1, 2026·PMID 42202579
Why it mattersDistal femur fractures are challenging, and the choice between nailing and plating involves trade-offs. This high-level evidence clarifies that nailing may reduce infection and speed healing but at the cost of more knee pain and stiffness, helping surgeons counsel patients and tailor fixation to individual priorities.
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