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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. CookNPNeal PatelSNSandeep Krishan Nayar

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Overview

Systematic review compares intramedullary nail to plate fixation in distal fibula fractures, suggesting similar outcomes.

Key Points

  • There were no significant differences in functional recovery between intramedullary nail and plate fixation for distal fibula fractures.
  • Meta-analysis showed a mean difference of -2.33 in Olerud and Molander Ankle Score at one year, indicating no notable difference in outcomes.
  • The systematic review analyzed five randomized controlled trials involving 455 patients, focusing on patient-reported measures and complications.
  • Choosing between fixation methods should consider patient-specific factors, as both methods provided comparable recovery rates.

Cite This Study

Cook et al. (2025) studied this question.

synapsesocial.com/papers/68af5407ad7bf08b1eadaec8https://doi.org/10.7759/cureus.90130
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intramedullary Nailing vs. Plate Fixation for Trochanteric Femoral Fractures: A Systematic Review and Meta-Analysis of Randomized Trials2025 · 1 citations
  2. 2THE FRACTURE ANKLE IMPLANT REVIEW (FAIR) STUDY: A NATIONAL MULTICENTRE RETROSPECTIVE REVIEW OF IMPLANTS, FIXATION METHODS, AND OUTCOMES IN FIBULA FIXATION IN ANKLE FRACTURES2024
  3. 3A Comparative Analysis of Distal Femur Plating and Intramedullary Nailing in the Management of Distal Femoral Fractures: A Retrospective Cross-Sectional Study2026
  4. 4Intramedullary nail fixation for tibial plateau fractures: a systematic review of techniques and outcomes2026
  5. 5Distal Femur Fractures: Nail, Plate or Both? A Systematic Review2026