title: Factors affecting the closed reduction of diaphyseal fractures of the femur.
abstract: BACKGROUND
  This level II prospective study investigates patient and fracture-related factors likely to affect closed reduction time in the surgical treatment of femur fractures, and the effect these factors have on closed reduction time.
  
  
  METHODS
  Seventy-nine diaphyseal femur fractures of 75 patients were included in the present study. All fractures were treated with indirect closed reduction by manual traction using antegrade nailing and static, locked, reamed intramedullary nails. The three variables considered to influence the duration of closed reduction, that is, the type of fracture, BMI, and the preoperative period (time from injury to surgery), were evaluated either separately or in a combination of two or three of the variables. Their influence on the closed reduction time was analyzed and evaluated.
  
  
  RESULTS
  In this study according to the outcomes, a preoperative period ≤24 h had a significant effect in shortening the reduction time. The reduction time was not significantly affected by the type of fracture. The reduction time was prolonged in overweight patients, but the difference was not significant. When the three variables BMI, preoperative period, and fracture types were evaluated together, the common effect of these three variables was not significant.
  
  
  CONCLUSIONS
  In conclusion, based on these results, we think that closed reduction should certainly be aimed for in femur fractures in which intramedullary nailing is planned. Also, early surgical intervention appears to have a beneficial effect on the success of closed reduction.
authors: Ankara Numune Training and Research Hospital, First Clinics of Orthopaedics and Traumatology, Ankara, Republic of Turkiye.
authors: Ahmet Ozgur
authors: AO
authors: Yildirim
authors: Ozdamar Fuad
authors: OF
authors: Oken
authors: Yusuf Alper
authors: YA
authors: Katı
authors: Murat
authors: M
authors: Gulcek
authors: Ahmet
authors: A
authors: Ucaner
mesh_terms: D000328:Adult; D015992:Body Mass Index; D001858:Bone Nails; D018483:Diaphyses; D005260:Female; D005264:Femoral Fractures / Q000145:classification / Q000209:etiology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D005596:Fractures, Closed / Q000601:surgery*; D006801:Humans; D008297:Male; D061646:Operative Time; D011300:Preoperative Care / Q000706:statistics & numerical data; D011446:Prospective Studies; D061665:Time-to-Treatment; D014143:Traction / Q000379:methods; D016896:Treatment Outcome