Abstract
In multiple injured patients, the association of femoral and pelvic fractures is not uncommon. Femoral reduction and fixation in those patients may be performed with a traction table and a perineal post, but it may result in various groin-related complications, including the displacement of the pubic rami, pudendal nerve neurapraxias, vaginal tears, and scrotal necrosis. The aim of this study was to describe a technique for femur fracture distraction without the use of a perineal post in patients with pelvic trauma. Here, we describe the technical details and 5 cases of femoral fracture associated with pelvic fractures treated with a postless distraction technique. Our preliminary results using this technique show a sufficient distraction to allow reduction and internal fixation of the femoral fracture with a standard femoral nail.
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