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

Yan Gao,Yong-Hong Zhang,Xin Lv,Ning-Ning Qiao,Jin-Yuan Liu

doi:10.1186/s13018-019-1145-6

Abstract

ObjectivesThis study aims to explore the clinical efficacy of applying a new reduction brace in the closed reduction of femoral shaft fracture.MethodsA 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.ResultsAll 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.ConclusionsThe 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.

Highlights

The femur is the longest tubular bone in the human body
Due to the stretch of the muscle, the fracture would always be in severe malposition, which is difficult for reduction, and most adults suffer from femoral shaft fracture, requiring surgical treatment [1, 2]
It is a common clinical belief that closed reduction intramedullary nail insertion is the gold standard for the closed reduction of femoral shaft fractures [3], while the realization of rapid closed reduction during an operation remains a challenge for orthopedic physicians

Summary

Introduction

The femur is the longest tubular bone in the human body. Femoral shaft fracture is mostly caused by powerful direct force. Due to well-developed thigh muscles, there would be many malposition and overlapping after fracture. Due to the stretch of the muscle, the fracture would always be in severe malposition, which is difficult for reduction, and most adults suffer from femoral shaft fracture, requiring surgical treatment [1, 2]. It is a common clinical belief that closed reduction intramedullary nail insertion is the gold standard for the closed reduction of femoral shaft fractures [3], while the realization of rapid closed reduction during an operation remains a challenge for orthopedic physicians. There are no unified specific instruments for the closed reduction of femoral shaft fractures.

Objectives

Methods

Results