This article is more than 5 years old. Information may no longer be current.
Similar reoperation rates for nonunion found between patients enrolled, not enrolled in study
Click Here to Manage Email Alerts
Recently published results showed similar low rates of reoperation for nonunion and an average time to reoperation for nonunion of more than 6 months between patients who were enrolled and patients who were not in enrolled a multicenter, international level 1 study on the use of reamed intramedullary nails in patients with tibial fractures.
Researchers compared the rates and timing of reoperation for 328 patients enrolled in the Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures (SPRINT) with those of 114 patients who were eligible, but not enrolled, in the study. Primary endpoint was reoperation for nonunion, while secondary endpoint included reoperation for other reasons, such as infection or compartment syndrome.
Overall, 92% of non-SPRINT patients and 51% of SPRINT patients received a reamed nail, according to results. By 1 year, researchers found 91% of non-SPRINT patients were healed. Investigators found no significant difference in the types of reoperations between the groups, with 6.1% of the non-SPRINT group undergoing reoperation vs. 5.2% of patients in the SPRINT group. Compared with 29% of patients in the SPRINT group, results showed 43% of patients in the non-SPRINT group underwent reoperations for nonunion before 6 months. Researchers noted no significant differences in the time to reoperation or in the proportion of patients who underwent reoperation before 6 months between the groups. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.
Click Here to Manage Email Alerts