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Prospective Study of Closed Reduction of Trochanteric Fractures via a Novel Intraoperative Femoral Fracture Reduction Device: Early Clinical Results.
Wang, Zhigang; Hao, Wei; Liu, Dong; Zhang, Kai; Jia, Long; Yang, Shuye; Wang, Zhaolin; Zhang, Degang; Zhang, Dechun.
Afiliación
  • Wang Z; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Hao W; Department of Orthopaedics and Traumatology, Yantai YuHuangDing Hospital Affiliated to Qingdao University Medical College, Yantai, Shandong Province, China.
  • Liu D; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Zhang K; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Jia L; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Yang S; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Wang Z; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Zhang D; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
  • Zhang D; Department of Orthopaedics and Traumatology, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong Province, China.
J Orthop Trauma ; 32(8): e309-e314, 2018 08.
Article en En | MEDLINE | ID: mdl-29927791
OBJECTIVE: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clavos Ortopédicos / Cirugía Asistida por Computador / Fijación Intramedular de Fracturas / Fracturas de Cadera Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: J Orthop Trauma Asunto de la revista: ORTOPEDIA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clavos Ortopédicos / Cirugía Asistida por Computador / Fijación Intramedular de Fracturas / Fracturas de Cadera Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: J Orthop Trauma Asunto de la revista: ORTOPEDIA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos