Department of Orthopaedic Surgery, Denver Health Medical Center, CO, USA.
J Am Acad Orthop Surg. 2010 Nov;18(11):668-75. doi: 10.5435/00124635-201011000-00004.
Traction tables are used in numerous procedures about the hip and femur, including fracture fixation, hip arthroscopy, and less invasive arthroplasty. The use of a traction table is not without risks, however, and significant complications have been described, including injury to the perineal integument and soft tissues, neurologic impairment, and iatrogenic compartment syndrome of the well leg. The orthopaedic surgeon who uses a traction table for the surgical management of femur fracture must be familiar with the associated potential dangers and risks and must develop a plan to avoid traction table-associated complications, such as use of a radiolucent flat-top operating table for obese patients, adequate patient positioning, and the minimum possible surgical time.
牵引台在髋关节和股骨的众多手术中都有使用，包括骨折固定、髋关节镜检查和微创关节置换。然而，使用牵引台并非没有风险，已经描述了许多严重并发症，包括会阴皮肤和软组织损伤、神经功能障碍以及健肢医源性间隔综合征。使用牵引台治疗股骨骨折的矫形外科医生必须熟悉相关的潜在危险和风险，并制定计划以避免牵引台相关并发症，例如为肥胖患者使用透光平顶手术台、充分的患者定位以及尽可能缩短手术时间。
