Multiplanar fracture reducer versus manual traction in the treatment of tibial shaft fractures with intramedullary nails.
Int Orthop
; 46(4): 911-917, 2022 04.
Article
em En
| MEDLINE
| ID: mdl-34591157
ABSTRACT
OBJECT The purpose of this study was to propose a new traction device, a multiplanar fracture reducer (MFR), for the treatment of tibial shaft fractures with intramedullary nails (IMN). The efficiencies of the multiplanar fracture reducer and manual traction (MT) in the treatment of tibial shaft fractures with IMN were compared. METHODS:
From January 2019 to January 2020, a total of 79 patients were enrolled in this study, among whom 38 were treated with MFR while 41 were treated with MT. Their demographics and fracture characteristics, surgical data, and prognostic data between the two groups were compared.RESULTS:
The mean number of intra-operative fluoroscopies in the MFR group was less than that in the MT group (19.4 vs 21.2, p < 0.001); surgical procedures involving open reduction were more in the MT group than in MFR group (0 vs 5, p = 0.026); there were less assistants in the MFR group than in the MT group (1 vs 1.9, p < 0.001), while the average Lysholm Knee Function Score and knee flexion were 92.7 ± 2.0 and 128.8 ± 1.4 in the MFR group, and 91.9 ± 2.1 and 127.5 ± 1.8 in the MT group, respectively. Both LKFS and knee flexion in the MFR group were significantly better than those in the MT group (p = 0.032 and p < 0.001). The remaining data between the two groups were comparable.CONCLUSION:
MFR is a safe and effective device for the minimal invasive treatment of tibial shaft fractures fixed with IMN.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Fraturas da Tíbia
/
Fixação Intramedular de Fraturas
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Int Orthop
Ano de publicação:
2022
Tipo de documento:
Article