Key result
The use of an orthopedic traction table during surgical treatment of transtrochanteric hip fractures showed no significant difference in tip-apex distance (median 1.92 vs 1.95, p=0.39) compared to not using the table.
Why the study?
The study was conducted to analyze differences in post-surgical results regarding the quality of fracture reduction when using an orthopedic traction table for intramedullary osteosynthesis.
Does the use of an orthopedic traction table improve tip-apex distance, consolidation, or reduce complications in patients undergoing surgical treatment for transtrochanteric hip fractures with a cephalomedullary nail?
Observational (n=79)
No
Does the use of an orthopedic traction table improve tip-apex distance, consolidation, or reduce complications in patients undergoing surgical treatment for transtrochanteric hip fractures with a cephalomedullary nail?
Absolute Event Rate: 1.92% vs 1.95%
p-value: p=0.39
The use of an orthopedic traction table during cephalomedullary nailing of transtrochanteric hip fractures does not significantly improve tip-apex distance, fracture consolidation, or complication rates compared to manual traction.
Traction table use shows no TAD or outcome benefit in this cohort; leaves open necessity for randomized confirmation in intramedullary nailing.
Objectives: to analyze the differences in the post-surgical result in the quality of fracture reduction in which the orthopedic traction table was used as a technique for intramedullary osteosynthesis.Methods: The present study consists of a comparative quantitative study using secondary data from medical records of 79 patients who suffered a transtrochanteric fracture and underwent surgical treatment with and without the use of a traction table.Measurement data of the tip-apex distance (TAD) was collected on the immediate postoperative radiography, presence of the cut-out, analysis of loss of reduction, evaluation of possible failure in the synthesis material and analysis of fracture consolidation, and post-surgical complications.The Mann-Whitney U test and the Fisher Exact test were used to compare the traction table's use and non-use, adopting p < 0.05.Results: There was a greater proportion of women with this type of fracture (75.9%).Complications related to surgery occurred in 7.9% of cases.No significant difference was found for TAD (p = 0.39), consolidation indicators (p = 0.52) and fracture-related postsurgical complications (p = 0.05) between the use and non-use of the traction table.Conclusion: No significant difference was seen for TAD, consolidation, and the occurrence of post-surgical complications related to fracture between the use or not of a traction table to perform the surgical procedure.
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Soccol et al. (2021) conducted an observational in Transtrochanteric hip fractures (n=79). Orthopedic traction table vs. No orthopedic traction table was evaluated on Tip-apex distance (TAD) (p=0.39). The use of an orthopedic traction table during surgical treatment of transtrochanteric hip fractures showed no significant difference in tip-apex distance (median 1.92 vs 1.95, p=0.39) compared to not using the table.
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