title: CLOSED FEMORAL NAILING WITH THE TECHNIQUE OF USING A NEW FEMORAL DISTRACTOR: A PRELIMINARY REPORT.
abstract: This study introduces the application of a new femoral distractor in the treatment of femoral fracture restoration with internal fixation of intramedullary nail. Sixty-three patients with femoral fracture from the Affiliated Hospital of Binzhou Medical University underwent femoral facture restoration with the new femoral distractor in combination with internal fixation of an intramedullary nail from June 2011 to March 2014. There were 18 cases of proximal femur fractures, 44 cases of middle femoral shaft fractures and 1 case of distal femur fracture. Follow-up was on the 4th, 6th, 8th, 12th, 16th and 24th week after operation. All 63 patients successfully underwent the surgery and the steel needles used did not cause injury to the adjacent vessels or nerves. Five cases had to have steel needles reinserted, as they had failed in the distraction reduction due to being unsteadily fixed because of an improper position. Patients were followed up for 10~24 months (mean 16 months), and the total healing rate was 100%. Operative time was 93.5 minutes averagely. Average time of patients exposure to X-ray was 26.8 seconds. Bleeding volume was averagely 219.1 ml. There were no complications either during the operations or after them. All cases healed within 12 weeks (average 7.6 weeks). This study proves that, the new femoral distractor can help the closed reduction of fractures in treating femoral fractures with intramedullary nails to avoid the inconvenience of applying traction tables and the occurrence of potential complications.
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: Z G
authors.initials: ZG
authors.lastname: Wang
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: K
authors.initials: K
authors.lastname: Zhang
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: L
authors.initials: L
authors.lastname: Jia
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: Z L
authors.initials: ZL
authors.lastname: Wang
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: D
authors.initials: D
authors.lastname: Liu
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: S Y
authors.initials: SY
authors.lastname: Yang
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: D C
authors.initials: DC
authors.lastname: Zhang
authors.affiliation: Department of Traumatic Orthopedics, Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
authors.forename: D G
authors.initials: DG
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D011859:Radiography; D013997:Time Factors