Kumar S, Chadha G N
Acta Orthop Belg. 2016 Aug;82(2):346-350.
To evaluate a new technique of Dynamic hip screw (DHS) fixation without using traction table. From july 2006 to july 2012, 328 patients undergoing DHS fixation using manual traction technique were evaluated in terms of Tip apex distance (TAD), -quality of fracture reduction, operation time, preoperative preparation time. In 97% cases good to moderate reduction could be achieved. The mean TAD was 19.2 millimeters, mean operation time 37 minutes and screw cutout rate was only 0.91%. This technique is easy, reproducible, cheap do not sacrifice reduction alignment, screw position and is extremely beneficial in polytrauma patients where multiple surgeries are to be done.
评估一种不使用牵引床的动力髋螺钉（DHS）固定新技术。从2006年7月至2012年7月，对328例采用手动牵引技术进行DHS固定的患者，在尖顶距（TAD）、骨折复位质量、手术时间、术前准备时间方面进行了评估。在97%的病例中可实现良好至中等程度的复位。平均TAD为19.2毫米，平均手术时间为37分钟，螺钉穿出率仅为0.91%。该技术操作简单、可重复、成本低，不影响复位对线和螺钉位置，对于需要进行多次手术的多发伤患者极为有益。
