Unreamed Intramedullary Nailing of Acute Femoral-Shaft Fractures by Using a Traction Device Without Fracture Table

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Abstract
Summary: The authors present a simple distraction apparatus that makes it possible to perform nonreamed intramedullary nailing of the femur on a normal operating table. Nonreamed intramedullary nails were placed in 24 femoral-shaft fractures with the use of this device. The setup time of this device was 60% shorter than a stratified group of 28 femoral nailings with the fracture table. We believe that this device is a safe and effective alternative to using a fracture table. The device is especially useful in the polytrauma patient whose additional lesions can be treated without being transferred to another table. © Williams & Wilkins 1997. All Rights Reserved.