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Abstract
The authors present a simple distraction apparatus that is used in the sterile field
and makes it possible to perform unreamed intramedullary nailing of the femur on a
normal operation table. Intramedullary (IM) nails were placed, without reaming, in
24 femoral shaft fractures with the use of this device. Although it appears as though
the use of the distractor did not lengthen the operative procedure, the set-up time
was 60 per cent less compared with a stratified group of 28 femoral nailings using
the fracture table. We feel that this device provides a safe and effective means for
achieving fracture reduction without the need for a fracture table. It is especially
useful in the multiply injured patient where the additional lesions can be treated
without the need for patient transfer to the fracture table.
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References
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Article info
Publication history
Accepted:
November 5,
1997
Identification
Copyright
© 1998 Published by Elsevier Inc.
