Static versus dynamic intramedullary nailing for femoral and tibial shaft fractures: a double-blind, randomized clinical trial

Dynamic intramedullary nailing (DIMN) significantly reduces the median time to union compared to static intramedullary nailing (SIMN) for femoral and tibial shaft fractures. Despite the shorter union time with DIMN, both techniques showed similar outcomes regarding nonunion, malunion, delayed union, and reoperation rates. These findings suggest that while DIMN may offer faster fracture healing, SIMN and DIMN are viable options depending on individual patient and clinical considerations.