In:
Journal of Orthopaedic Trauma, Ovid Technologies (Wolters Kluwer Health), Vol. 32, No. 8 ( 2018-08), p. e309-e314
Kurzfassung:
Traction achieved using an intraoperative femoral fracture reduction device (IFFRD) was compared with that observed using a traction table (TT) for closed reduction of trochanteric fractures and cephalomedullary nail fixation. Design: Prospective cohort study. Setting: Level 1 trauma center. Patients: One hundred forty-one eligible patients with 141 fractures (Orthopaedic Trauma Association type 31-A1, n = 28; A2, n = 75; and A3, n = 38 cases) were randomized to the IFFRD (n = 73) or TT (n = 68) group. Intervention: The IFFRD was used while the patient was placed on a normal radiolucent operation table with 25–30 degrees elevation of the injured side to allow for antero-posterior and lateral fluoroscopic examination and facilitate entry-point guide wire insertion. Main Outcome Measures: Patient demographics, operative and fluoroscopy duration, quality of fracture reduction, and radiological bone union time were recorded. Results: Patient demographics were similar between groups. Duration of patient positioning was longer in the TT group ( P 〈 0.05); duration of fluoroscopy, fracture reduction, and time to union were comparable. Conclusions: An IFFRD used with a normal radiolucent operation table decreased patient positioning time, with efficacy comparable to the TT approach for closed reduction of trochanteric fractures. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Materialart:
Online-Ressource
ISSN:
0890-5339
DOI:
10.1097/BOT.0000000000001230
Sprache:
Englisch
Verlag:
Ovid Technologies (Wolters Kluwer Health)
Publikationsdatum:
2018
ZDB Id:
2041334-8
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