September 1, 1998Journal of Orthopaedic Trauma
Length of Operative Procedures: Reamed Femoral Intramedullary Nailing Performed With and Without a Fracture Table
Why the study?
Does performing reamed intramedullary nailing without a fracture table reduce operative time in patients with femoral shaft fractures?
Population
Consecutively treated patients with fractures of the femoral shaft treated with intramedullary nails from…
Comparison
Reamed intramedullary nailing of the femoral… vs Reamed intramedullary nailing of the femoral…
Design
Cohort
Authors
Discussion
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Member takes
Implication
May shorten procedural times in femoral nailing without tables; hypothesis-generating and requires randomized confirmation before practice change.
Structured PICO
Does performing reamed intramedullary nailing without a fracture table reduce operative time in patients with femoral shaft fractures?
P
Population
Consecutively treated patients with fractures of the femoral shaft treated with intramedullary nails from June 1986 to March 1996 at a Level 1 trauma center in Nashville, Tennessee.
I
Intervention
Reamed intramedullary nailing of the femoral shaft performed without the use of a fracture table (leg draped free on a radiolucent table)
C
Comparator
Reamed intramedullary nailing of the femoral shaft performed with the use of a fracture table
O
Outcome
Length of anesthesia time, prep and drape time, and intramedullary nailing time
Performing reamed intramedullary nailing of the femoral shaft without a fracture table significantly decreases prep, operative, and anesthesia times compared to using a fracture table.
Cite This Study
Wolinsky et al. (1998) studied this question.