A simple method for applying traction to the lower limb during acetabular fracture fixation

Na, Sandiford; Gorbachev, D.S.; Sk, Velayudham

doi:10.1308/rcsann.2014.96.7.547a

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…Last, this technique does not need much of a learning curve and is practiced by most orthopedic trauma surgeons, unlike other surgical approaches used for managing impaction injuries, such as surgical hip dislocation, besides the availability of the distractor in most trauma surgery units [ 19 , 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…To avoid the drawbacks and limitations of the previous techniques, joint distraction had been introduced as a practical option; this could be achieved through various techniques, either by operating on a traction table; however, if such a table was not available, surgeons either use manual traction or various tools such as the AO large femoral distractor to assist joint distraction [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments

Badran,

Khalifa,

Fergany

et al. 2024

BMC Musculoskelet Disord

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Purpose The results after acetabular fracture are primarily related to the quality of articular reduction. Using the AO large femoral distractor, incarcerated fragments can be easily removed, and marginally impacted fragments can be elevated under direct visualization without further re-dislocating the joint. The current study aimed to evaluate our early results of using the AO large femoral distractor as an assisting tool during ORIF of acetabular fractures associated with marginal impaction or intraarticular incarcerated fragments. Methods Eighteen patients were included in this retrospective case series study diagnosed with an acetabular fracture associated with either marginal impaction injury or an intraarticular incarcerated fragment. On a usual operative table, all patients were operated upon in a prone position through the Kocher Langenbeck approach. The AO large femoral distractor was used to facilitate hip joint distraction. Postoperative fracture reduction and joint clearance were assessed in the immediate postoperative CT scans. Results The average age of the patients was 30 ± 8.2 years; 13 (72.2%) were males. All cases had a posterior wall fracture, and it was associated with transverse fractures, posterior column fractures, and T-type fractures in five (27.8%), two (11.1%), and one (5.6%) patients, respectively. Intraarticular incarcerated fragments were present in 13 (72.2%) cases and marginal impaction in five (27.8%). Fracture reduction measured on the postoperative CT scans showed an anatomical reduction in 14 (77.8%) patients, imperfect in four (22.2%), and complete clearance of the hip joint of any incarcerated fragments. Conclusion The use of the AO large femoral distractor is a reliable and reproducible technique that can be applied to assist in the removal of incarcerated intraarticular fragments and to ease the reduction of marginally impacted injuries associated with acetabular fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments

Badran,

Khalifa,

Fergany

et al. 2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Fifth, in speci c injuries such as marginal impaction, enough and maintained distraction enables the surgeon to visualize and reduce the impacted fragment and bone grafting. Last, this technique does not need much learning curve and is practiced by most orthopedic trauma surgeons unlike other surgical approaches used for managing impaction injuries such as surgical hip dislocation, besides the availability of the distractor in most trauma surgery units [19,39,40].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments

Badran

Khalifa

Fergany

et al. 2023

Preprint

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Purpose The results after acetabular fracture are primarily related to the quality of articular reduction. Using the AO large femoral distractor, incarcerated fragments can be easily removed, and elevation of marginally impacted fragments can be done under direct visualization without further re-dislocating the joint. The current study aimed to evaluate our early results of using the AO large femoral distractor as an assisting tool during ORIF of acetabular fractures associated with marginal impaction or intraarticular incarcerated fragments. Methods Eighteen patients were included in this retrospective case series study diagnosed with an acetabular fracture associated with either marginal impaction injury or an intraarticular incarcerated fragment. On a usual operative table, all patients were operated upon in a prone position through the Kocher Langenbeck approach. The AO large femoral distractor was used to facilitate hip joint distraction. Postoperative fracture reduction and joint clearance were assessed in the immediate postoperative CT scans. Results The average age of the patients was 30 ± 8.2 years; 13 (72.2%) were males. All cases had a posterior wall fracture, and it was associated with transverse fractures, posterior column fractures, and T-type fractures in five (27.8%), two (11.1%), and one (5.6%) patients, respectively. Intraarticular incarcerated fragments were present in 13 (72.2%) cases and marginal impaction in five (27.8%). Fracture reduction measured on the postoperative CT scans showed an anatomical reduction in 14 (77.8%) patients, imperfect in four (22.2%), and complete clearance of the hip joint of any incarcerated fragments. Conclusion The use of the AO large femoral distractor is a reliable and reproducible technique that can be applied to assist removal of incarcerated intraarticular fragments and to ease the reduction of marginally impacted injuries associated with acetabular fractures

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A simple method for applying traction to the lower limb during acetabular fracture fixation

Cited by 2 publications

References 3 publications

Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments

Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments

Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments

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