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Data were analyzed using kappa statistic and correlation coefficient to assess agreement and reliability. All included articles supported the use of reamed tibial intramedullary nails, but the overall quality of the literature fell in the middle of both the modified Coleman Score and Consolidated Standards of Reporting Trials grading scheme ranges despite being Oxford Level 1. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. Therapeutic Level I. See Instructions for Authors for a compl
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