Similar clinical results found with closed reduction, small-incision, blind hand reduction
Compared with closed reduction, the small-incision, blind-hand reduction technique significantly reduced intraoperative radiation exposure and operative time among pediatric patients with femoral shaft fractures, according to study results.
Researchers assigned 68 pediatric patients with femoral shaft fractures to undergo small-incision, blind-hand reduction technique (group A) or closed reduction technique (group B). The researchers recorded operative time, intraoperative fluoroscopy time, fracture union time and complications, and clinical and radiological results were assessed using the titanium elastic nailing (TEN) scoring system.
Results showed significantly longer operative and fluoroscopy times in group B, with group A showing a mean operative time of 30.5 minutes and a mean fluoroscopy time of 28.4 seconds vs. a mean operative time of 53 minutes and mean fluoroscopy time of 65 seconds in group B. Using the TEN scoring system, the researchers found 31 patients and three patients in group A had excellent results and good results, respectively, whereas 29 patients and five patients group B had excellent results and good results respectively.
No significant differences were seen between the groups in terms of clinical and radiological results, fracture healing time, weight-bearing time and complication rates, according to the researchers.
Disclosure: The authors have no relevant financial disclosures.