Therapeutics and Clinical Risk Management (Sep 2022)

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

  • Zha J,
  • Zhang G,
  • Wang X,
  • Li J,
  • Di J,
  • Guo J

Journal volume & issue
Vol. Volume 18
pp. 945 – 954

Abstract

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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 [email protected]; [email protected]: 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).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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