Yıl: 2019 Cilt: 12 Sayı: 2 Sayfa Aralığı: 315 - 320 Metin Dili: Türkçe DOI: 10.31362/patd.524559 İndeks Tarihi: 20-05-2022

Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture

Öz:
Purpose: The aim of this study was to compare the traction table and supine position without traction table in double axis femoral nailing of intertrochanteric fractures in terms of reduction quality and complication rates. Material and Method: Sixty-three patients with a mean age of 68.54±16.42 (29-97) were retrospectively analyzed. 42 patients were operated without the traction table, 21 patients were operated with the traction table. Collodiaphyseal angles and Baumgartner reduction criteria were used for radiologic evaluation. The union time of the fractures, complications, and nonunion cases were assessed. Results: The restoration of collodiaphyseal angle was better in the group using the traction table, the reduction quality could not be restored well in the group without the traction table (p<0.05). The mean union time was calculated as 3.2±2.2 months in patients operated with the traction table while in patients who were operated without a traction table was calculated as 4.26±2.23 months (p>0.05). Cut-out and nonunion complications were more common in the group operated without traction table. Increasing difference of the collodiaphyseal angle was found to be correlated with the complication rates and union time. Conclusion: Better reduction was achieved in the patient group that operation performed using the traction table and the complication rates were low in this group. Operation with the traction table should be the first choice for intertrochanteric fractures. The supine position without traction table may be a preferable treatment method for intertrochanteric fractures when the traction table is not available.
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  • 1. Sonmez MM, Camur S, Erturer E, Ugurlar M, Kara A, Ozturk I. Strategies for proximal femoral nailing of unstable intertrochanteric fractures: Lateral decubitus position or traction table. J Am Acad Orthop Surg 2017;25:37-44. https://dx.doi.org/10.5435/ JAAOS-D-15-00691
  • 2. Brumback RJ, Ellison TS, Molligan H, Molligan DJ, Mahaffey S, Schmidhauser C. Pudendal nerve palsy complicating intramedullary nailing of the femur. J Bone Joint Surg Am 1992;74:1450-1455
  • 3. Anglen J, Banovetz J. Compartment syndrome in the well leg resulting from fracture-table positioning. Clin Orthop Relat Res 1994;301:239-42. https://dx.doi. org/10.1097/00003086-199404000-00037
  • 4. Flierl MA, Stahel PF, Hak DJ, Morgan SJ, Smith WR. Traction table-related complications in orthopaedic surgery. J Am Acad Orthop Surg 2010;18:668-675. https://dx.doi.org/18/11/668 [pii]
  • 5. Şahin E, Songür M, Kalem M, et al. Traction table versus manual traction in the intramedullary nailing of unstable intertrochanteric fractures: A prospective randomized trial. Injury 2016;47:1547-1554. doi: 10.1016/j.injury.2016.04
  • 6. Johnson KD, Greenberg M. Comminuted femoral shaft fractures. Orthop Clin North Am 1987;18:133-147.
  • 7. Aiyer S, Jagiasi J, Argekar H, Sharan S, Dasgupta B. Closed antegrade interlocked nailing of femoral shaft fractures operated up to 2 weeks postinjury in the absence of a fracture table or C-arm. J Trauma Injury, Infection, and Critical Care 2006;61:457-160. https:// dx.doi.org/10.1097/01.ta.0000210269.05305.75
  • 8. Zhao Z, Song F, Zhu J, et al. Prone positioning for intramedullary nailing of subtrochanteric fractrures, the techniques of intraoperative fluoroscopy and reduction: A technique note. Injury 2017;48:2354-2359. https:// dx.doi.org/10.1016/j.injury.2017.08.025
  • 9. Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM. The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am 2019;77:1058-1064.
  • 10. Turgut A, Kalenderer Ö, Günaydin B, Önvural B, Karapinar L, Ağus H. Fixation of intertrochanteric femur fractures using Proximal Femoral Nail Antirotation (PFNA) in the lateral decubitus position without a traction table. Acta Orthop Traumatol Turc 2014;48:513- 520. https://dx.doi.org/10.3944/AOTT.2014.14.0098
  • 11. Carr JB. The anterior and medial reduction of intertrochanteric fractures: A simple method to obtain a stable reduction. J Orthop Trauma 2007;21:485-489. https://dx.doi.org/10.1097/BOT.0b013e31804797cf
  • 12. Kumar S, Chadha GN. Dynamic hip screw fixation of intertrochanteric fractures without using traction table. Acta Orthop Belg 2016;82:346-350.
  • 13. Bojan AJ, Beimel C, Taglang G, Collin D, Ekholm C, Jönsson A. Critical factors in cut-out complication after gamma nail treatment of proximal femoral fractures. BMC Musculoskelet Disord 2013;14:1. https://dx.doi. org/10.1186/1471-2474-14-1
  • 14. Ballal MSG, Emms N, Thomas G. Proximal femoral nail failures in extracapsular fractures of the hip. J Orthop Surg (Hong Kong) 2008;16:146-149. https://dx.doi. org/10.1177/230949900801600203
  • 15. Jaffer AK, Barsoum WK, Krebs V, Hurbanek JG, Morra N, Brotman DJ. Duration of anesthesia and venous thromboembolism after hip and knee arthroplasty. Mayo Clin Proc 2005;80:732-738. https://dx.doi. org/10.1016/S0025-6196(11)61526-7
APA yorukoglu a, AYDEMİR a, YUCENS M, Yiğiter Ö, Kiter E, ÖK N (2019). Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. , 315 - 320. 10.31362/patd.524559
Chicago yorukoglu ali cagdas,AYDEMİR ahmet,YUCENS Mehmet,Yiğiter Özgür,Kiter Esat,ÖK Nusret Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. (2019): 315 - 320. 10.31362/patd.524559
MLA yorukoglu ali cagdas,AYDEMİR ahmet,YUCENS Mehmet,Yiğiter Özgür,Kiter Esat,ÖK Nusret Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. , 2019, ss.315 - 320. 10.31362/patd.524559
AMA yorukoglu a,AYDEMİR a,YUCENS M,Yiğiter Ö,Kiter E,ÖK N Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. . 2019; 315 - 320. 10.31362/patd.524559
Vancouver yorukoglu a,AYDEMİR a,YUCENS M,Yiğiter Ö,Kiter E,ÖK N Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. . 2019; 315 - 320. 10.31362/patd.524559
IEEE yorukoglu a,AYDEMİR a,YUCENS M,Yiğiter Ö,Kiter E,ÖK N "Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture." , ss.315 - 320, 2019. 10.31362/patd.524559
ISNAD yorukoglu, ali cagdas vd. "Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture". (2019), 315-320. https://doi.org/10.31362/patd.524559
APA yorukoglu a, AYDEMİR a, YUCENS M, Yiğiter Ö, Kiter E, ÖK N (2019). Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. Pamukkale Tıp Dergisi, 12(2), 315 - 320. 10.31362/patd.524559
Chicago yorukoglu ali cagdas,AYDEMİR ahmet,YUCENS Mehmet,Yiğiter Özgür,Kiter Esat,ÖK Nusret Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. Pamukkale Tıp Dergisi 12, no.2 (2019): 315 - 320. 10.31362/patd.524559
MLA yorukoglu ali cagdas,AYDEMİR ahmet,YUCENS Mehmet,Yiğiter Özgür,Kiter Esat,ÖK Nusret Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. Pamukkale Tıp Dergisi, vol.12, no.2, 2019, ss.315 - 320. 10.31362/patd.524559
AMA yorukoglu a,AYDEMİR a,YUCENS M,Yiğiter Ö,Kiter E,ÖK N Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. Pamukkale Tıp Dergisi. 2019; 12(2): 315 - 320. 10.31362/patd.524559
Vancouver yorukoglu a,AYDEMİR a,YUCENS M,Yiğiter Ö,Kiter E,ÖK N Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture. Pamukkale Tıp Dergisi. 2019; 12(2): 315 - 320. 10.31362/patd.524559
IEEE yorukoglu a,AYDEMİR a,YUCENS M,Yiğiter Ö,Kiter E,ÖK N "Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture." Pamukkale Tıp Dergisi, 12, ss.315 - 320, 2019. 10.31362/patd.524559
ISNAD yorukoglu, ali cagdas vd. "Comparison of traction table and supine position without traction in double axis femoral nailing of intertrochanteric fracture". Pamukkale Tıp Dergisi 12/2 (2019), 315-320. https://doi.org/10.31362/patd.524559