Boothby Benjamin C, Haase Lucas R, Stegelmann Samuel D, Napora Joshua K, Sontich John K, Ochenjele George, Wetzel Robert J
University Hospitals, Cleveland, Ohio.
Mercy Health St Vincent Medical Center, Toledo, Ohio.
JBJS Case Connect. 2023 Mar 16;13(1). doi: e22.00760. eCollection 2023 Jan 1.
A 53-year-old woman with a history of transfemoral amputation presented to the emergency department with an ipsilateral intertrochanteric femur fracture. Standard fracture tables that use a boot to pull traction are not helpful in these cases, which makes achieving adequate traction for reduction difficult.
We describe a unique technique to manipulate an amputated extremity using 2 Schanz pins attached to a weight through a traction rope. This practical technique provided adequate skeletal traction for reduction and internal fixation in our case and can be performed on a standard radiolucent table without the need for special table attachments.
一名有经股截肢病史的53岁女性因同侧股骨转子间骨折被送至急诊科。使用靴子进行牵引的标准骨折手术台在这些病例中并无帮助，这使得实现足够的牵引以进行复位变得困难。
我们描述了一种独特的技术，通过一根牵引绳将两根斯氏针连接到重物上，以操纵截肢肢体。在我们的病例中，这种实用技术为复位和内固定提供了足够的骨骼牵引，并且可以在标准的射线可透手术台上进行，无需特殊的手术台附件。
