Application of fracture-sustaining reduction frame in closed reduction of femoral shaft fracture

J Orthop Surg Res. 2019 May 22;14(1):147. doi: 10.1186/s13018-019-1145-6.

Abstract

Objectives: This study aims to explore the clinical efficacy of applying a new reduction brace in the closed reduction of femoral shaft fracture.

Methods: A total of 18 patients with femoral shaft fracture, who were admitted to the Bone Trauma Surgery, Second Hospital of Shanxi Medical University, from September 2015 to January 2017, were chosen. A novel reduction brace combined with closed reduction intramedullary nail insertion on the traction table adopted for the orthopedic surgery was taken for the fixation. Then, surgical time, bleeding amount, and postoperational fracture healing time were recorded.

Results: All 18 patients with femoral shaft fracture successfully received closed reduction femoral nail with the application of the novel reduction brace. The follow-up period was 3-18 months, with an average of 12 months, and the femoral shaft fracture was well healed with good recovery of function.

Conclusions: The design of the closed reduction brace of the femoral shaft fracture was reasonable, simple, and convenient to use and has a short learning curve. Furthermore, it led to little trauma to these patients and fully played the advantages of minimally invasive therapy for femoral fractures.

Keywords: Closed reduction; Femoral shaft fracture; Intramedullary nail insertion techniques; Reduction brace.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Femoral Fractures / diagnostic imaging*
  • Femoral Fractures / surgery*
  • Fracture Fixation / instrumentation*
  • Fracture Fixation / methods*
  • Humans
  • Male
  • Middle Aged
  • Patient Positioning / instrumentation*
  • Patient Positioning / methods*
  • Young Adult