Strategies for Proximal Femoral Nailing of Unstable Intertrochanteric Fractures .
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Strategies for Proximal Femoral Nailing of Unstable Intertrochanteric Fractures: Lateral Decubitus Position or Traction Table
J Am Acad Orthop Surg. 2017 Mar;25(3): e37-e44.Eighty-two patients with unstable intertrochanteric femoral fractures scheduled for femoral nailing were randomized to receive the procedure in the lateral decubitus position (n=42) or with the use of a traction table (n=40). Outcomes of interest included set-up time, surgical time, fluoroscopy exposure time, collodiaphyseal angle, tip-to-apex distance, and reduction quality. Results revealed significantly shorter setup time, surgical time, and fluoroscopy time in the lateral decubitus group. Collodiaphyseal was significantly greater in the lateral decubitus group vs. the traction table group. No significant differences in tip-to-apex distance and reduction classification were observed between the two groups.
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