IJCEMR

Article http://dx.doi.org/10.26855/ijcemr.2026.05.005

Analysis of the Efficacy of Closed Reduction with Interlocking Intramedullary Nail Internal Fixation Versus Locked Plate Internal Fixation in the Treatment of Tibiofibular Fractures

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Zhifeng Li^1,*, Zhuoran Zhu², Yindi Yao³, Taifang Gong¹

¹First Ward, Department of Orthopedics, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, China.

²School of Basic Medical Sciences, Hubei University of Medicine, Shiyan 442000, Hubei, China.

³School of Nursing, Hubei University of Medicine, Shiyan 442000, Hubei, China.

*Corresponding author: Zhifeng Li

Published: May 11,2026

Abstract

Objective: To analyze the efficacy of closed reduction with interlocking intramedullary nail internal fixation and locked plate internal fixation in the treatment of tibiofibular fractures. Methods: The clinical data of 80 patients with tibiofibular fractures admitted to the hospital from August 2022 to August 2025 were retrospectively analyzed. According to different treatment schemes, they were divided into the intramedullary nail group (40 cases, closed reduction with interlocking intramedullary nail internal fixation) and the plate group (40 cases, locked plate internal fixation). The perioperative indicators, complication occurrence, and joint function were compared between the two groups. Results: Compared with the plate group, the intramedullary nail group had a longer operation time, less intraoperative blood loss, shorter hospital stay, lower pain score at 6 hours after operation, lower total incidence of complications, and higher joint function score (all P < 0.05). Conclusion: Compared with locked plate internal fixation, closed reduction with interlocking intramedullary nail internal fixation has better efficacy in the treatment of tibiofibular fractures. It can reduce intraoperative blood loss, shorten hospital stay, reduce postoperative pain and total incidence of complications, and improve joint function, but the operation time is longer.

Keywords

Closed reduction with interlocking intramedullary nail internal fixation; Locked plate internal fixation; Tibiofibular fractures; Efficacy

References

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How to cite this paper

Analysis of the Efficacy of Closed Reduction with Interlocking Intramedullary Nail Internal Fixation Versus Locked Plate Internal Fixation in the Treatment of Tibiofibular Fractures

How to cite this paper: Zhifeng Li, Zhuoran Zhu, Yindi Yao, Taifang Gong. (2026) Analysis of the Efficacy of Closed Reduction with Interlocking Intramedullary Nail Internal Fixation Versus Locked Plate Internal Fixation in the Treatment of Tibiofibular Fractures. International Journal of Clinical and Experimental Medicine Research, 10(3), 195-199.

DOI: http://dx.doi.org/10.26855/ijcemr.2026.05.005