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Femoral nailing without a fracture table
M S Sirkin1, F Behrens, K McCracken
1Department of Orthopaedics, New Jersey Medical School, Newark 07109, USA.
Clinical Orthopaedics and Related Research
|November 1, 1996
Summary
Femoral nailing using a radiolucent table with manual traction is safe and effective for femur fractures. This technique reduces complications and procedure time, especially for polytrauma patients.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- Femoral shaft fractures require effective reduction and fixation.
- Traditional methods often involve fracture tables, which may have limitations.
Purpose of the Study:
- To evaluate the effectiveness and safety of antegrade femoral nailing on a radiolucent table using only manual traction.
- To compare this technique with fracture table-assisted nailing.
Main Methods:
- Retrospective study of 83 patients with femoral shaft fractures treated with antegrade nailing.
- Group 1: 24 fractures treated with manual traction on a radiolucent table.
- Group 2: 59 fractures treated with a fracture table.
Main Results:
- Group 1 required fewer redrapings and table transfers, with no increase in operative time.
- No operative complications occurred in Group 1, versus one radial nerve palsy in Group 2.
- Postoperative malalignment was minimal in both groups.
Conclusions:
- Intramedullary nailing on a radiolucent table with manual traction is a safe and effective alternative.
- This method may offer quicker treatment for polytrauma patients without increased morbidity.
- An assistant's help is valuable for this technique.