Background: Femoral fractures are common fractures in orthopedics.
study the outcomes in patients with fracture shaft of femur, managed by close
reduction and Inter Locking nail by traction table versus modified Naseer Awais
Study design: Non randomized clinical study.
Methodology: One hundred patients (50 in each group) were included in present study.
Inter Lock femoral nailing was done in group A by TM distractor. Traction table
was used in group B for the same procedure. Number of fluoroscope images per
procedure, operation duration/time, contact between fracture fragments after
reduction, limb rotation, limb length discrepancy, union time (radiological)
and frequency of infection occurrence was noted and compared between the above
said two groups.
Results: Number of images per-operatively were
38.55±19.087, in group A 43.08±23.67, in group B 34.02±11.56 (P=0.017). The
operative time in group A was 81.40±25.95 mins. The limb length discrepancy
after surgery was 0.17±0.49 cm. The time of radiological union was 5.62±2.29
months in group A, versus 5.44±3.32 months in group B (P=0.753). Conclusion: We
concluded that TM distractor group has
comparable outcome with traction table group because there was no statistically
significant difference in terms of operation duration/time, contact of major
fracture fragments after reduction, limb length discrepancy (LLD), union
(radiological), non-union and frequency of infection. However numbers of images
in a procedure were less in traction table group in our study.
Keywords: TM Distractor,
Femoral Nail, Traction Table, Modified NA Fixator and Inter Lock Nail.