Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Hebei, China.
Sci Rep. 2018 Apr 13;8(1):5952. doi: 10.1038/s41598-018-24317-y.
A novel reduction technique of intramedullary nailing (IMN) for femoral shaft fractures was introduced, and in this study, its therapeutic effect was compared with patients treated with the traditional traction table. From November 2012 to August 2015, the patients with femoral shaft fractures fixed with anterograde IMN were reviewed. Seventy-four patients treated with the traction table and forty-eight patients treated with the double reverse traction repositor (DRTR) met the inclusion criteria of this study. The surgical time, blood loss, open reduction rate and complications were reviewed in this study. The fracture healing was assessed by the radiographs conducted at each follow-up. The functional outcome (hip and knee flexion, Harris Hip Score, and Lysholm knee score) was evaluated at the final follow-up. Average surgical time, blood loss, hip and knee flexion, and Harris Hip Score showed no difference (P > 0.05) between the two groups. However, the DRTR was superior to the traction table in fracture healing, Lysholm knee score, open reduction and complications rate (P < 0.05). Thus, we concluded that minimally invasive treatment of femoral shaft fractures could be obtained with the DRTR.
一种新型的髓内钉（IMN）治疗股骨干骨折的复位技术被引入，本研究比较了其与传统牵引床治疗的疗效。2012 年 11 月至 2015 年 8 月，回顾了采用顺行 IMN 固定治疗的股骨干骨折患者。本研究纳入了符合标准的 74 例采用牵引床治疗和 48 例采用双反向牵引复位器（DRTR）治疗的患者。本研究对手术时间、出血量、切开复位率和并发症进行了回顾。通过每次随访时的 X 线片评估骨折愈合情况。末次随访时评估功能结果（髋关节和膝关节屈曲度、Harris 髋关节评分和 Lysholm 膝关节评分）。两组之间的平均手术时间、出血量、髋关节和膝关节屈曲度以及 Harris 髋关节评分无差异（P>0.05）。然而，DRTR 在骨折愈合、Lysholm 膝关节评分、切开复位和并发症发生率方面优于牵引床（P<0.05）。因此，我们得出结论，DRTR 可微创治疗股骨干骨折。
