An International Publisher for Academic and Scientific Journals
Author Login
SAS Journal of Surgery | Volume-12 | Issue-05
Innovative Closed Reduction Technique in Intramedullary Nailing for Femoral Shaft Fracture Using Orthopedic Traction Table and the Impaction Principle
Alaa Massri, Yassine Ben Bouzid, Oualid Assouab, Omar Aguenaou, Reda Fekhaoui, Rida-Allah Bassir, Monsef Boufettal, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani
Published: May 20, 2026 |
53
34
Pages: 409-412
Downloads
Abstract
Background: Based on simplicity, speed, low cost, and safety, the technique developed in the present work allows, thanks to the traction table, to obtain a stable reduction by impacting the fragments by distracting the distal fragment on a reduced fracture. Material and methods: This is a retrospective study of 18 patients treated for displaced femoral shaft fracture on an orthopedic traction table. The contribution of this technique was based on an assessment of operating time, reduction time, exposure to radiation, and the need for assistance or special devices. Results: All patients were successfully operated by our technique. There was no need to convert to an open reduction, which contributed to the minimization of intraoperative bleeding. The reduction time was 10 ± 3 min, and the operative time was 55 ± 12 min. Exposure to fluoroscopy was significantly reduced and the need for assistance during the operative procedure was also reduced. Conclusion: This technique is simple to perform and does not require any special device, providing an excellent surgical result in a short operative time.


