[Objective]To evaluate the clinical efficiency of a novel traction table used in closed reduction and intramedullary nailing of femoral intertrochanteric fractures.[Methods]From December 2019 to April 2022,a total of 72 patients who admitted to our hospital for femoral intertrochanteric fractures were randomly divided into two groups.Of them,36 patients received operation under the novel traction table(the novel group),while other 36 patients were under the traditional fracture table(the traditional group).The perioperative,follow-up and imaging documents were compared between the two groups.[Results]The novel group proved significantly superior to the traditional group in terms of positioning time[(5.9±1.5)min vs(13.6±3.3)min,P＜0.001]and anesthesia time[(101.5±13.2)min vs(137.3±18.7)min,P＜0.001],intraoperative fluoroscopy times[(34.1±4.1)times vs(38.2±5.5)times,P＜0.001],despite of no statistically significant differences in closed reduction time,operation time,total incision length,intraoperative blood loss,incision healing grade,hospital stay,and time to re-gain full weight-bearing time between the two groups(P＞0.05).The VAS score,Harris score,hip extension-flexion range of motion(ROM),and hip internal-external rotation ROM were significantly improved in both groups at the latest follow-up compared with those 3 months postoperatively(P＜0.05),whereas which were not statistically significant between the two groups at any corresponding time points(P＞0.05).With respect to imaging,there were no statistically significant differences in fracture reduction quality and fracture healing time between the two groups(P＞0.05).At last follow-up,femoral neck-shaft angle(FNSA)decreased significantly in both groups(P＜0.05),while tip-apex distance(TAD)remained unchanged(P＞0.05).There were no significant differences in FNSA and TAD between the two groups at any corresponding time points(P＞0.05).[Conclusion]This new traction table can effectively reduce the time of position placement and times of fluoroscopy,and does not increase the operation time and closed reduction time,reduce the anesthesia time,and improve the efficiency of surgery.
fracture traction tableintertrochanteric fracture of the femurclosed reductioninternal fixation
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