Reynders P, Broos P L
Department of Traumatology and Reconstructive Surgery, University Hospitals, K.U Leuven, Belgium.
Injury. 1998 Jan;29(1):81-4. doi: 10.1016/s0020-1383(97)00196-4.
The authors present a simple distraction apparatus that is used in the sterile field and makes it possible to perform unreamed intramedullary nailing of the femur on a normal operation table. Intramedullary (IM) nails were placed, without reaming, in 24 femoral shaft fractures with the use of this device. Although it appears as though the use of the distractor did not lengthen the operative procedure, the set-up time was 60 per cent less compared with a stratified group of 28 femoral nailing using the fracture table. We feel that this device provides a safe and effective means for achieving fracture reduction without the need for a fracture table. It is especially useful in the multiply injured patient where the additional lesions can be treated without the need for patient transfer to the fracture table.
作者介绍了一种简单的牵引装置，该装置用于无菌手术区域，能够在普通手术台上对股骨进行非扩髓髓内钉固定。使用该装置对24例股骨干骨折患者进行了非扩髓髓内钉置入。尽管使用牵引器似乎并未延长手术时间，但与使用骨折手术台进行分层的28例股骨钉固定组相比，准备时间减少了60%。我们认为，该装置提供了一种安全有效的方法来实现骨折复位，而无需使用骨折手术台。它对多发伤患者尤其有用，因为在这种情况下，无需将患者转移至骨折手术台就可以治疗其他损伤。
