Original Article
Evaluation of limited open reduction in the treatment of femoral shaft fractures with intramedullary nail
Gui Jingxiong, Deng Zhicheng, Zhu Xiaohua, Ou Julun, Xu Guotai, Guo Sheng, Xie Jianzhong, Zheng Jiehao
Published 2020-03-05
Cite as Chin J Postgrad Med, 2020,43(03): 265-270. DOI: 10.3760/cma.j.issn.1673-4904.2020.03.017
Abstract
ObjectiveTo evaluate the effect of limited open reduction in the treatment of femoral shaft fractures with intramedullary nail.
MethodsThe clinical data of 39 patients with femoral shaft fractures in the Department of Orthopedic Surgery, Southern Medical University Xiaolan Affiliated Hospital from January 2016 to December 2017 were retrospectively analyzed. All patients were treated with intramedullary nailing. Among them, 25 cases were treated with limited open reduction (observation group) and 14 cases were treated with closed reduction (control group). The operation time, fluoroscopy frequency, blood loss volume, infection rate and curative effect were compared between 2 groups.
ResultsThe 39 patients were followed up for 7 to 25 (10.3 ± 2.8) months. The operation time and fluoroscopy frequency in observation group were significantly lower than those in control group: (111.4 ± 20.3) min vs. (129.3 ± 21.4) min and (7.0 ± 2.6) times vs. (22.6 ± 7.8) times, but the blood loss volume was significantly higher than that in control group: (454.0 ± 131.4) ml vs. (342.9 ± 120.7) ml, and there were statistical differences (P<0.05 or <0.01); there was no statistical difference in the infection rate and excellent/good rate between 2 groups (P>0.05).
ConclusionsLimited open reduction simplifies the operation steps, shortens the operation time, and has fewer fluoroscopy times and less X-ray time. It can achieve the same effect as closed reduction, and can be used as an effective supplementary means when closed reduction equipment and technology are deficient.
Key words:
Femoral fractures; Fracture fixation intramedullary; Treatment outcome; Retrospective studies
Contributor Information
Gui Jingxiong
Department of Orthopaedic Surgery, Southern Medical University Xiaolan Affiliated Hospital, Guangdong Zhongshan 528415, China
Deng Zhicheng
Zhu Xiaohua
Ou Julun
Xu Guotai
Guo Sheng
Xie Jianzhong
Zheng Jiehao