Clinical application of orthopedic traction bed foot cover in surgical fixation of patients with femoral fracture

Abstract

Objective To explore the effectiveness of orthopedic traction bed foot cover during the surgical fixation of patients with femoral neck and intertrochanteric fractures. Methods A total of 118 patients with internal fixation of femoral neck and intertrochanteric fracture were selected and divided into two groups, 60 cases in the experimental group adopted the national patent (orthopedic traction bed foot cover) for fixation and 58 cases in the control group with the ordinary cotton pad for the foot fixation, according to the order of hospitalization. The incidence of pressure injury, foot skin pressure, operation time and doctor-patient satisfaction were compared between the two groups. Results The incidence of pressure sores in stage I of the experimental group was 0 (0/60), lower than that of the control group 12.10% (7/58), with statistically significant difference (P<0.05). External pressure of the experimental group was (48.45 ± 4.60) mmHg (1 mmHg=0.133 kPa), lower than control group (95.33 ± 14.30) mmHg, with statistically significant difference (t= 2.320, P <0.05). The foot pressure was (52.40 ± 6.60) mmHg, lower than control group (98.50 ± 13.00) mmHg, with statistically significant difference(t= 7.690, P <0.05). The operation time of the experimental group was (35.02 ± 0.89) seconds, lower than control group (62.85 ± 2.20) seconds, with statistically significant difference (t=4.619, P<0.05). Patient and medical satisfaction of the experimental group were (100.00 ± 0.70)%, (99.80 ± 0.38)% respectively, higher than that of the control group (92.00 ± 2.87)%, (95.30 ± 1.75)%, and the difference was statistically significant (t=8.527, 9.038 respectively, all P<0.05). Conclusions The orthopedic traction bed foot cover is effectively applied to the operation fixation of femoral neck and femoral intertrochanteric fracture, which is worthy to be applied in future. Key words: Orthopedic traction bed; Femoral fracture; Pressure injury; Foot cover