Use of a Double Reverse Traction Repositor versus a Traction Table for the Treatment of Intertrochanteric Femur Fractures: A Comparative Study

Autor: Mingming Yan, Letian Kuang, Jiangdong Ni, Muliang Ding, Junjie Wang, Jun Huang, Deye Song
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Orthopaedic Surgery, Vol 13, Iss 4, Pp 1254-1261 (2021)
Druh dokumentu: article
ISSN: 1757-7861
1757-7853
DOI: 10.1111/os.12956
Popis: Objective The aim of the present study was to compare the clinical results for unstable femoral intertrochanteric fractures treated with a double reverse traction repositor (DRTR) and those treated using a traction table with the Asia proximal femoral nail antirotation (PFNA‐II). Methods A retrospective study was performed including 95 patients with AO/OTA type 31‐A2 and 31‐A3 unstable femoral intertrochanteric fractures who underwent DRTR or traction table‐facilitated PFNA‐II nailing from April 2015 to December 2018 in our traumatic center. Demographics, duration of operation, blood loss, part loading time after surgery, fracture healing time, and early and late complications were assessed. Clinical and radiological outcomes were collected to compare the differences between the two groups. Results A total of 95 unstable intertrochanteric fracture patients treated with the PFNA‐II were analyzed. Of these cases, 56 patients were treated with a DRTR and the other 39 patients were treated using a traction table to achieve fracture reduction. No patients died during surgery and hospitalization. There were no significant differences in respect to demographics and fracture characteristics of cases enrolled. The total operative time was significantly longer in the traction table group than in the DRTR group (72.5 ± 6.1 min for the traction table and 63.0 ± 4.1 min for the DRTR group, P
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