ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2021
Nailing femoral shaft fracture with postless distraction technique: a new technique enabled by shape-conforming pad.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Expert Consensus on Trendelenburg Position Postless Hip Distraction Technique in Hip Arthroscopy.Orthopaedic surgery · 2026Article
- Perioperative Management of Hip Arthroscopy.The Iowa orthopaedic journal · 2025Review
- Arthroscopic assistance during open reduction and fixation for complex acetabular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Experimental assessment of pelvis slipping during postless traction for orthopaedic applications.Journal of orthopaedic surgery and research · 2024Article
- Are complications related to the perineal post on orthopaedic traction tables for surgical fracture fixation more common than we think? A systematic review.Patient safety in surgery · 2023Review
- The Butterfly Fragment in Wedge-Shaped Femoral Shaft Fracture: Comparison of Two Different Surgical Methods.Orthopaedic surgery · 2022Article
- Fracture of pubic rami during hip fracture fixation: a rare case of traction table-related injury.BMJ case reports · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemoral shaft fractures are usually treated with nailing using a traction table and a perineal post, but this may occasionally result in various groin-related complications, including pudendal nerve neurapraxia. Although most of them are transient, complication rates of up to 26% are reported. Recently, postless distraction technique has been described for elective hip arthroscopy. In this study we compared post and postless distraction technique in femoral shaft fracture nailing in terms of (1) quality of reduction, (2) outcome, and (3) complications.
methodsWe reviewed 50 patients treated with postless distraction nailing technique for femoral shaft fractures and compared them with our historical case series (95 patients). The following data were collected for all patients: age, gender, weight, height, diagnoses (fractures were classified according to the 2018 revision of AO classification), type and size of nail surgical timing, Trendelenburg angles during surgery, quality of reduction according to Baumgaertner and Thoresen classifications, Modified Harris Hip Scores at 6 months, and perineal complications.
resultsMedian age was 53 years, and median weight was 70 kg (range 50-103 kg). We found no significant difference in terms of quality of reduction (72 versus 74% "excellent" reduction for subtrochanteric fractures, while 81 versus 79% "excellent" reduction for femoral shaft fractures) and functional outcomes (Modified Harris Hip Score 74 versus 79). One patient in the control group had a failure of the fixation, and one patient in the postless group had a deep infection. Two patients in the control group reported pudendal nerve neurapraxia for 4 months, while none reported complication linked to the postless technique.
conclusionsOur results using the postless distraction technique show a sufficient distraction to allow reduction and internal fixation of the femoral fracture with a standard femoral nail. LEVEL OF EVIDENCE: IV.
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