{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T13:23:40Z","timestamp":1794057820317,"version":"4.8.0"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To compare a modern ring fixator [Taylor Spatial Frame (TSF)] and reamed intramedullary nailing (IMN) for the treatment of closed tibial shaft fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Randomized controlled trial.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Two university hospitals.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Patients between 18 and 70 years of age surgically treated for an acute tibial shaft fracture.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>TSF (n = 31) versus a reamed intramedullary nail (n = 32). The patients were followed up for 2 years.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>The physical component summary of Short Form 36 (SF-36) at 2 years was the primary outcome measure. Secondary outcomes included the other components of the SF-36, pain assessed by a visual analogue scale (VAS), complications, and resource consumption.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>The mean age was 43 years (SD 14.0), and 42 (67%) were men. The physical component summary at 2 years was 52.4 (SD 6.3) in the TSF group and 53.3 (SD 8.0) in the IMN group (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.35). There were modest differences in the other SF-36 scores during the follow-up period. Up to and including 12 months, the TSF group had less knee pain [at 12 months: VAS 0.5 (SD 1.2) vs. VAS 2.4 (SD 2.2; <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001)], but this was not statistically significant at 24 months [VAS 0.7 (SD 1.4) vs. VAS 1.5 (SD 2.0; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.11)]. Superficial skin infections were more frequent in the TSF group [22 (71%) vs. 4 (13%); <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001]. The number of other complications was similar between the groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Both TSF and IMN provided good clinical results. TSF had more pin-track infections but less knee pain the first year.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001802","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T19:56:38Z","timestamp":1588967798000},"page":"612-619","source":"Crossref","is-referenced-by-count":19,"title":["Taylor Spatial Frame or Reamed Intramedullary Nailing for Closed Fractures of the Tibial Shaft: A Randomized Controlled Trial"],"prefix":"10.1097","volume":"34","author":[{"given":"Frede","family":"Frihagen","sequence":"first","affiliation":[{"name":"Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan E.","family":"Madsen","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway;"},{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Sundfeldt","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Sahlgrenska University Hospital, Gothenburg, Sweden; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar B.","family":"Flugsrud","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joakim S.","family":"Andreassen","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mette R.","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Baerum Hospital, Vestre Viken Hospital Trust, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geir S.","family":"Andreassen","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"2068","DOI":"10.1016\/j.injury.2018.09.008","article-title":"Epidemiology and incidence of tibia fractures in the Swedish Fracture Register","volume":"49","author":"Wennergren","year":"2018","journal-title":"Injury."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"2567","DOI":"10.2106\/JBJS.G.01694","article-title":"Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures","volume":"90","author":"Bhandari","year":"2008","journal-title":"J Bone Joint Surg Am."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.injury.2010.02.020","article-title":"Systematic review shows lowered risk of nonunion after reamed nailing in patients with closed tibial shaft fractures","volume":"41","author":"Lam","year":"2010","journal-title":"Injury."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1080\/17453670810016722","article-title":"Current management of tibial shaft fractures: a survey of 450 Canadian orthopedic trauma surgeons","volume":"79","author":"Busse","year":"2008","journal-title":"Acta Orthop."},{"key":"R5-20230828","first-page":"CD008241","article-title":"Intramedullary nailing for tibial shaft fractures in adults","volume":"1","author":"Duan","year":"2012","journal-title":"Cochrane Database Syst Rev."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1097\/BOT.0000000000000886","article-title":"Trajectory of short- and long-term recovery of tibial shaft fractures after intramedullary nail fixation","volume":"31","author":"Ko","year":"2017","journal-title":"J Orthop Trauma."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"971","DOI":"10.2106\/00004623-200206000-00011","article-title":"Long-term outcome after tibial shaft fracture: is malunion important?","volume":"84","author":"Milner","year":"2002","journal-title":"J Bone Joint Surg Am."},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1097\/BOT.0b013e318180e646","article-title":"Long-term follow-up of tibial shaft fractures treated with intramedullary nailing","volume":"22","author":"Lefaivre","year":"2008","journal-title":"J Orthop Trauma."},{"key":"R9-20230828","first-page":"1511","article-title":"Anterior knee pain after intramedullary nailing of fractures of the tibial shaft: an eight-year follow-up of a prospective, randomized study comparing two different nail-insertion techniques","volume":"64","author":"Vaisto","year":"2008","journal-title":"J Trauma."},{"key":"R10-20230828","first-page":"256","article-title":"Closed tibial shaft fractures: management and treatment complications. 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