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Increased operative time
22%
584/2644
Decreased internal malrotation deformities
47%
1250/2644
Increased external malrotation deformities
586/2644
Increased pudendal nerve injury
6%
149/2644
Increased need for revision
2%
58/2644
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Figure A shows a proximal (supraisthmal) femoral shaft fracture. The referenced article by Stephen et al is a randomized controlled trial between manual traction and fracture-table traction for the reduction and nailing of femoral shaft fractures in terms of quality of the reduction, operative time, complications, and functional status of the patient in eighty-seven patients. Internal malrotation was significantly more common when the fracture table had been used: twelve (29%) of the forty-two femora were internally rotated by >10° compared with three (7%) of the forty-five treated with manual traction. Mean operative time was also less in the manual traction group. The referenced study by Wolinsky et al also found that use of a traction table significantly increased the anesthesia time, total operating room time, prep and drape time, and overall surgical time as compared to manual traction.
2.4
(70)
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