Your browser doesn't support javascript.
loading
Comparison of Lateral versus Medial Entry Femoral Traction Pin Complication Rates.
Luo, T David; Hussaini, S Hanif; Andring, Nicholas A; Kelly, Erin A; Carroll, Eben A; Halvorson, Jason J.
Afiliación
  • Luo TD; Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.
  • Hussaini SH; Wake Orthopaedics, Apex, North Carolina.
  • Andring NA; Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.
  • Kelly EA; Wake Forest University School of Medicine, Winston-Salem, North Carolina.
  • Carroll EA; Wake Forest Baptist Medical Center, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Winston-Salem, North Carolina.
  • Halvorson JJ; Wake Forest Baptist Medical Center, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Winston-Salem, North Carolina.
J Surg Orthop Adv ; 32(4): 259-262, 2023.
Article en En | MEDLINE | ID: mdl-38551235
ABSTRACT
Distal femoral skeletal traction is a common procedure for the stabilization of fractures of the pelvis, acetabulum, and femur following trauma. Femoral traction pins are traditionally inserted via medial-to-lateral (MTL) entry to accurately direct the pin away from the medial neurovascular bundle. Alternatively, cadaveric studies have demonstrated low risk to the neurovascular bundle using a lateral-to-medial (LTM) approach. The purpose of this study was to compare the incidence of complications of LTM and MTL femoral traction pin placement at a single institution. This was a retrospective review of patients from the orthopaedic consult registry at a academic Level I Trauma Center. We identified 233 LTM femoral traction pin procedures in 231 patients and 29 MTL pin procedures in 29 patients. The two pin placement techniques were compared with respect to complications, specifically the incidence of neurovascular injury, cellulitis, septic arthritis, osteomyelitis, and heterotopic ossification after femoral traction pin placement. Two complications were reported. One patient developed heterotopic ossification along the pin tract after LTM traction pin placement. Another patient developed septic arthritis after LTM pin placement, likely attributable to retrograde intramedullary nailing of his open femur fracture rather than his traction pin. There were no reports of neurovascular injury, cellulitis, or osteomyelitis associated with pin placement. The complication rate was 0.9% for LTM group and 0.0% for MTL group (p = 0.616). LTM femoral traction pin placement is a safe procedure with a similarly low complication rate compared with traditional MTL placement when the limb is positioned in neutral alignment. (Journal of Surgical Orthopaedic Advances 32(4)259-262, 2023).
Asunto(s)
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteomielitis / Artritis Infecciosa / Osificación Heterotópica / Fracturas del Fémur / Fijación Intramedular de Fracturas Límite: Humans Idioma: En Revista: J Surg Orthop Adv Asunto de la revista: ORTOPEDIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteomielitis / Artritis Infecciosa / Osificación Heterotópica / Fracturas del Fémur / Fijación Intramedular de Fracturas Límite: Humans Idioma: En Revista: J Surg Orthop Adv Asunto de la revista: ORTOPEDIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos