Femoral Shaft Fracture Traction Bed Closed Reduction And Open Reduction And Intramedullary Nailing Clinical Analysis

Background:Femoral shaft fracture refers to the interval between the femoral intercondylar fractures and femoral subtrochanteric fracture. It is common clinically, accounting for6%of the body fracture.Its treatment of many ways, including the traditional traction and Plaster immobilization, External fixation, ORIF (open reduction and internal fixation) and intramedullary nail fixation. Intramedullary nailing with less trauma, fixed Indeed, stress shielding, fracture healing rate, the infection rate is low, the IIN (interlocking intramedullary nail) technology has been regarded as the gold standard treatment of femoral shaft fractures. Previous studies about intramedullary nailing have focused on the evaluation of the efficacy of their own, whether reamed, plates in the treatment effect comparison, but less discussion of open reduction and closed reduction. With the popularity of fracture traction bed, Our hospital started using traction bed assisted closed reduction and intramedullary nail fixation of femoral shaft fracture reduction in recent years, what’s more, It show an increasing trend in application compared with open reduction and intramedullary nail technology. We did a retrospective study about the two common treatments about femoral shaft fracture.Objective:Explore the application of femoral shaft fractures traction bed assisted closed reduction and intramedullary nailing operation technology and compare the Treatment effect with open reduction and intramedullary nail.Methods:A retrospective analysis to our hospital from July2009to December2012,86cases of femoral shaft fractures in patients with clinical data. Divided into the traction bed group and the open reduction group. Traction bed group of43patients, cut the reset group of43patients. Compare the two techniques in operative time, length of stay, the amount of bleeding, fracture healing time, complications occur. The data were analyzed by SPSS17.0software for data analysis.Results:86patients were followed up for a mean follow-up of17months (3months to30months). Traction bed assisted closed reduction group had one cases of nonunion and one case of delayed union. Open reduction group had one case of nonunion. No limb shortening, fixation failure, varus deformity and other complications. Fractures according to the AO classification statistics:simple fractures (type A) two sets have no significant difference in fracture healing time, operation time and lower limb function. Comminuted fracture (B, C type), traction bed assisted closed reduction groups in operative time and blood loss was significantly less than the open reduction group, no significant difference in healing time and lower limb function.Conclusion:The traction bed assisted closed reduction and intramedullary nail fixation method is feasible, easy to operate, has certain advantages in the treatment of comminuted fracture (B and C), compared with open reduction. It can save operative time, less blood loss. But in simple fractures (type A), there were no significant differences between the two groups in operative time and blood loss.