Closed femoral nailing in lateral decubitus position without a fracture table

A preliminary report of fifteen patients

Hsien Tao Liu, I. Chun Wang, Chung Ming Yu, Jau Wen Huang, Kun Chung Wang, Chih Hwa Chen, Steve Wen Neng Ueng

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The use of a fracture table is standard for closed intramedullary nailing of femoral fractures. Instead of a fracture table, some clinicians have successfully performed this operation in the supine position via manual traction. Here, we present our experience performing this operation in the lateral decubitus position without a fracture table. Methods: From December 2001 to November 2002, we consecutively performed closed intramedullary femoral nailing in 15 patients with low comminuted femoral shaft fractures in the lateral decubitus position without a fracture table. We used manual or joystick traction to approximate the fracture fragments and introduced a guide pin. A reaming procedure was done with serial reamers of increasing diameters to reduce the fracture fragments. Then, the nail was inserted along the guide pin. Results: Six femora underwent Küntscher nailing and nine femora underwent interlocking nailing. Nine procedures were completed via joystick traction and six were completed via manual traction only. All fifteen procedures were completed without any changes in the other operative methods. The mean operation time was 55 minutes for Kuntscher nailing and 118.3 minutes for interlocking nailing. The average union time was 5.8 months with 100% union. Conclusions: For low comminuted femoral shaft fractures, using manual or joystick traction in the lateral decubitus position without a fracture table is an alternative in closed femoral intramedullary nailing.

Original languageEnglish
Pages (from-to)629-635
Number of pages7
JournalChang Gung Medical Journal
Volume28
Issue number9
Publication statusPublished - Sep 2005
Externally publishedYes

Fingerprint

Traction
Thigh
Intramedullary Fracture Fixation
Femoral Fractures
Femur
Supine Position
Nails

Keywords

  • Femoral shaft fracture
  • Fracture table
  • Intramedullary nailing
  • Manual traction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Liu, H. T., Wang, I. C., Yu, C. M., Huang, J. W., Wang, K. C., Chen, C. H., & Ueng, S. W. N. (2005). Closed femoral nailing in lateral decubitus position without a fracture table: A preliminary report of fifteen patients. Chang Gung Medical Journal, 28(9), 629-635.

Closed femoral nailing in lateral decubitus position without a fracture table : A preliminary report of fifteen patients. / Liu, Hsien Tao; Wang, I. Chun; Yu, Chung Ming; Huang, Jau Wen; Wang, Kun Chung; Chen, Chih Hwa; Ueng, Steve Wen Neng.

In: Chang Gung Medical Journal, Vol. 28, No. 9, 09.2005, p. 629-635.

Research output: Contribution to journalArticle

Liu, Hsien Tao ; Wang, I. Chun ; Yu, Chung Ming ; Huang, Jau Wen ; Wang, Kun Chung ; Chen, Chih Hwa ; Ueng, Steve Wen Neng. / Closed femoral nailing in lateral decubitus position without a fracture table : A preliminary report of fifteen patients. In: Chang Gung Medical Journal. 2005 ; Vol. 28, No. 9. pp. 629-635.
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abstract = "Background: The use of a fracture table is standard for closed intramedullary nailing of femoral fractures. Instead of a fracture table, some clinicians have successfully performed this operation in the supine position via manual traction. Here, we present our experience performing this operation in the lateral decubitus position without a fracture table. Methods: From December 2001 to November 2002, we consecutively performed closed intramedullary femoral nailing in 15 patients with low comminuted femoral shaft fractures in the lateral decubitus position without a fracture table. We used manual or joystick traction to approximate the fracture fragments and introduced a guide pin. A reaming procedure was done with serial reamers of increasing diameters to reduce the fracture fragments. Then, the nail was inserted along the guide pin. Results: Six femora underwent K{\"u}ntscher nailing and nine femora underwent interlocking nailing. Nine procedures were completed via joystick traction and six were completed via manual traction only. All fifteen procedures were completed without any changes in the other operative methods. The mean operation time was 55 minutes for Kuntscher nailing and 118.3 minutes for interlocking nailing. The average union time was 5.8 months with 100{\%} union. Conclusions: For low comminuted femoral shaft fractures, using manual or joystick traction in the lateral decubitus position without a fracture table is an alternative in closed femoral intramedullary nailing.",
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