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Tytuł pozycji:

Use of a Minimally Invasive Traction Repositor versus Conventional Manual Traction for the Treatment of Tibial Fractures: A Comparative Study from a Tertiary Hospital in China

Tytuł:
Use of a Minimally Invasive Traction Repositor versus Conventional Manual Traction for the Treatment of Tibial Fractures: A Comparative Study from a Tertiary Hospital in China
Autorzy:
Zha J
Zhang G
Wang X
Li J
Di J
Guo J
Temat:
comparative
intramedullary nail
minimally invasive
tibial fractures
traction repositor.
Therapeutics. Pharmacology
RM1-950
Źródło:
Therapeutics and Clinical Risk Management, Vol Volume 18, Pp 945-954 (2022)
Wydawca:
Dove Medical Press, 2022.
Rok publikacji:
2022
Kolekcja:
LCC:Therapeutics. Pharmacology
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1178-203X
Relacje:
https://www.dovepress.com/use-of-a-minimally-invasive-traction-repositor-versus-conventional-man-peer-reviewed-fulltext-article-TCRM; https://doaj.org/toc/1178-203X
Dostęp URL:
https://doaj.org/article/132cf9e541fb492cbc47a7b830a52110  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.132cf9e541fb492cbc47a7b830a52110
Czasopismo naukowe
Junpu Zha,1,2 Guolei Zhang,1,2 Xiaoqing Wang,1 Jie Li,3 Jun Di,1,2 Junfei Guo1,2 1Department of Orthopaedics Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China; 2Orthopaedic Institute of Hebei Province, Shijiazhuang, People’s Republic of China; 3Department of Obstetrics and Gynecology, Hebei General Hospital, Shijiazhuang, People’s Republic of ChinaCorrespondence: Junfei Guo; Jun Di, Department of Orthopaedics Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, People’s Republic of China, Email drjfguo@163.com; dj6998@126.comBackground: Closed reduction and intramedullary nail fixation of tibial fractures may not utilize a fracture table or reduction aids like a femoral distractor, and only manual traction will help aid the reduction process. This study aimed to describe and further investigate the effectiveness of an originally designed minimally invasive traction repositor (MITR) for the treatment of tibial fractures.Methods: From January 2018 to April 2021, a total of 119 eligible patients with tibial shaft fractures were included and retrospectively assigned to two groups according to different reduction methods: MITR group vs conventional manual traction (CMT) group. The baseline characteristics between the two groups were comparable, including age, gender, BMI, residence, smoking history, drinking history, injury mechanism, fracture type, ASA, method of anesthesia, and surgical delay (all P > 0.05). The operation time, fracture reduction duration, intraoperative blood loss, fluoroscopy time, number of intraoperative fluoroscopies, VAS, HSS, fracture healing time, and complications were compared.Results: All patients completed the follow-ups with an average of 18.5 months (range 12– 42 months). The operation time, fracture reduction duration, intraoperative blood loss, fluoroscopy time, and number of fluoroscopies were significantly decreased in the MITR group (all P < 0.05). At one month postoperatively, the VAS score was statistically lower in the MITR group (1.8± 0.8) than in the CMT group (2.6± 1.5). At 6 months postoperatively, the HHS score was statistically higher in the MITR group (90.8± 2.3) than in the CMT group (86.4± 3.8). We observed no statistical difference in the mean fracture healing time, bone nonunion, implant failure, and infection between the two groups (all P > 0.05).Conclusion: Compared with CMT, MITR facilitates the minimally invasive treatment of tibial fractures and has the advantages of operation time, fracture reduction duration, intraoperative blood loss, fluoroscopy time, number of fluoroscopies, and satisfactory VAS and HSS scores.Keywords: comparative, intramedullary nail, minimally invasive, tibial fractures, traction repositor
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