ORIF of an intertrochanteric fracture proximal to an above-knee amputation using two AO femoral distractors.

Trauma Case Rep

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, 170 William Street, New York, NY 10038, United States of America.

Published: April 2023

We present the case of a patient who sustained a displaced intertrochanteric fracture proximal to an above-the-knee amputation. Reduction was obtained using 2 AO femoral distractors placed anteriorly and laterally, spanning the hip joint. Fracture fixation was achieved using a sliding hip screw and side plate. Intertrochanteric fractures proximal to an above-the-knee amputation are challenging to manage because of the difficulty in obtaining sufficient skin traction on the stump to effect reduction. Using two femoral distractors anteriorly and laterally can help obtain length and alignment in these difficult cases.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976567PMC
http://dx.doi.org/10.1016/j.tcr.2023.100806DOI Listing

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Article Synopsis
  • The study evaluates the effectiveness of the AO large femoral distractor in helping to manage acetabular fractures characterized by marginal impaction and incarcerated fragments.
  • Eighteen patients undergoing surgery using the distractor were analyzed, focusing on their fracture types and the outcomes post-surgery as seen in CT scans.
  • Results indicated that the distractor provided a reliable method for achieving anatomical fracture reduction in most cases and successfully cleared the hip joint of impacted fragments.
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Objective: To compare the effectiveness of lower extremity axial distractor (LEAD) and traction table assisted closed reduction and intramedullary nail fixation in treatment of femoral subtrochanteric fracture.

Methods: The clinical data of 117 patients with subtrochanteric fracture of femur treated by closed reduction and intramedullary nail fixation between May 2012 and May 2022 who met the selection criteria were retrospectively analyzed. According to the auxiliary reduction tools used during operation, the patients were divided into LEAD group (62 cases with LEAD reduction) and traction table group (55 cases with traction table reduction).

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ORIF of an intertrochanteric fracture proximal to an above-knee amputation using two AO femoral distractors.

Trauma Case Rep

April 2023

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, 170 William Street, New York, NY 10038, United States of America.

We present the case of a patient who sustained a displaced intertrochanteric fracture proximal to an above-the-knee amputation. Reduction was obtained using 2 AO femoral distractors placed anteriorly and laterally, spanning the hip joint. Fracture fixation was achieved using a sliding hip screw and side plate.

View Article and Find Full Text PDF

Unlabelled: Tibial plateau fractures account for approximately 1% to 2% of fractures in adults. These fractures exhibit a bimodal distribution as high-energy fractures in young patients and low-energy fragility fractures in elderly patients. The goal of operative treatment is restoration of joint stability, limb alignment, and articular surface congruity while minimizing complications such as stiffness, infection, and posttraumatic osteoarthritis.

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Background: 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.

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