Effects of Closed Reduction and Interlock Nailing of Femoral Shaft Fractures by Traction Table Vs Modified NA Fixator

Abstract

Background: Femoral fractures are common fractures in orthopedics. Aim: To study the outcomes in patients with fracture shaft of femur, managed by close reduction and Inter Locking nail by traction table versus modified Naseer Awais fixator. Study design: Non randomized clinical study. Methodology: One hundred patients (50 in each group) were included in present study. Inter Lock femoral nailing was done in group A by TM distractor. Traction table was used in group B for the same procedure. Number of fluoroscope images per procedure, operation duration/time, contact between fracture fragments after reduction, limb rotation, limb length discrepancy, union time (radiological) and frequency of infection occurrence was noted and compared between the above said two groups. Results: Number of images per-operatively were 38.55±19.087, in group A 43.08±23.67, in group B 34.02±11.56 (P=0.017). The operative time in group A was 81.40±25.95 mins. The limb length discrepancy after surgery was 0.17±0.49 cm. The time of radiological union was 5.62±2.29 months in group A, versus 5.44±3.32 months in group B (P=0.753). Conclusion: We concluded that TM distractor group has comparable outcome with traction table group because there was no statistically significant difference in terms of operation duration/time, contact of major fracture fragments after reduction, limb length discrepancy (LLD), union (radiological), non-union and frequency of infection. However numbers of images in a procedure were less in traction table group in our study. Keywords: TM Distractor, Femoral Nail, Traction Table, Modified NA Fixator and Inter Lock Nail.