Percutaneous antegrade nailing with reductor-T tape pin is effective and well tolerated in patients with ipsilateral multisegmental femoral shaft fractures

Abstract

Objective This study was performed to investigate the efficacy and safety of percutaneous antegrade nailing with a reductor-T tape pin in the treatment of ipsilateral multisegmental femoral shaft fractures (IMFSFs). Methods Nineteen patients with IMFSFs underwent antegrade nailing with a reductor-T tape pin by percutaneous techniques. The operation time, reduction time, fluoroscopy time, blood loss, fracture union time, and complications were recorded. Results All 19 patients (100%) achieved technical success. The mean and median operation time were 62.42±16.27 and 60 (range, 40–105) minutes, respectively; the mean and median reduction time were 11.47±3.78 and 10 (range, 8–22) minutes, respectively; the mean and median fluoroscopy time were 16.63±6.10 and 15 (range, 10–35) s, respectively; and the mean and median blood loss were 185.26±62.75 and 180 (range, 110–350) mL, respectively. Additionally, all 19 patients (100%) achieved fracture union within a mean and median time of 3.95±1.75 and 3 (range, 3–9) months, respectively; most patients [n=14 (73.7%)] achieved fracture union within 3 months. No obvious complications occurred during the study. Conclusion Antegrade nailing with a reductor-T tape pin by a percutaneous technique is effective and well tolerated in patients with IMFSFs.

Surgical fixation of ipsilateral femoral neck and shaft fractures: a matter of debate?

“…Axial traction allows the reduction of the femoral shaft fracture. In the presence of residual displacement after traction, a bone hook or pointed reduction clamps, Schanz pins with a T-handle, or two wires inserted in the unicortical bone might be helpful for gentle manipulation of the floating femoral fragment as recommended previously ( 32 , 33 ). The correct rotational alignment of the femoral shaft is ensured when the cortical thickness of the proximal and distal femur fragments is comparable and no ‘cortical step sign’ is observed at the fracture level.…”