Key result
The use of a double reverse traction repositor significantly reduced the open reduction rate compared to a traction table (3.3% vs 13.9%; p<0.001) during proximal femoral nailing antirotation.
Why the study?
The study sought to compare the efficacy of the double reverse traction repositor versus a traction table with proximal femoral nailing antirotation for treating unstable intertrochanteric fractures.
Does the double reverse traction repositor improve surgical outcomes compared to a traction table in patients with unstable intertrochanteric fractures treated with proximal femoral nailing antirotation?
Cohort (n=66)
Does the double reverse traction repositor improve surgical outcomes compared to a traction table in patients with unstable intertrochanteric fractures treated with proximal femoral nailing antirotation?
Absolute Event Rate: 3.3% vs 13.9%
p-value: p=<0.001
The double reverse traction repositor facilitates safe, effective, and minimally invasive treatment of unstable intertrochanteric fractures with proximal femoral nailing antirotation compared to a standard traction table.
May reduce open reductions in proximal femoral nailing; hypothesis-generating from retrospective data and requires prospective confirmation.
ObjectiveThe objective of this retrospective study was to compare the efficacy of the double reverse traction repositor (DRTR) and traction table with proximal femoral nailing antirotation (PFNA) in the treatment of unstable intertrochanteric fractures. Patients and Methods: Data from 66 patients (36 patients treated with the traction table and 30 patients treated with DRTR) with unstable intertrochanteric fractures were reviewed from January 2017 to June 2017. The demographics, fracture characteristics, surgical data, and prognostic parameters were collected to compare the differences between the two groups. Results: The collodiaphyseal angle (CDA) was significantly lower in the DRTR group than in the traction table group (129.37° ± 7.47 and 135.67° ± 6.95, respectively, p < 0.001). The open reduction rate was significantly lower in the DRTR group than in the traction table group (3.3% and 13.9%, respectively, p < 0.001). No significant differences were found in the demographics, fracture characteristics, other surgical data, or prognostic parameters between the two groups. Conclusions: DRTR can facilitate safe, effective, and minimally invasive treatment of unstable intertrochanteric fractures with PFNA.
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Zhao et al. (2020) conducted a cohort in Unstable intertrochanteric fractures (n=66). Double reverse traction repositor (DRTR) vs. Traction table was evaluated on Open reduction rate (p=<0.001). The use of a double reverse traction repositor significantly reduced the open reduction rate compared to a traction table (3.3% vs 13.9%; p<0.001) during proximal femoral nailing antirotation.
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