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Factors affecting the closed reduction of diaphyseal fractures of the femur

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Introduction

This level II prospective study investigates patient and fracture-related factors likely to affect closed reduction time in the surgical treatment of femur fractures, and the effect these factors have on closed reduction time.

Patients and methods

Seventy-nine diaphyseal femur fractures of 75 patients were included in the present study. All fractures were treated with indirect closed reduction by manual traction using antegrade nailing and static, locked, reamed intramedullary nails. The three variables considered to influence the duration of closed reduction, that is, the type of fracture, BMI, and the preoperative period (time from injury to surgery), were evaluated either separately or in a combination of two or three of the variables. Their influence on the closed reduction time was analyzed and evaluated.

Results

In this study according to the outcomes, a preoperative period ≤24 h had a significant effect in shortening the reduction time. The reduction time was not significantly affected by the type of fracture. The reduction time was prolonged in overweight patients, but the difference was not significant. When the three variables BMI, preoperative period, and fracture types were evaluated together, the common effect of these three variables was not significant.

Conclusion

In conclusion, based on these results, we think that closed reduction should certainly be aimed for in femur fractures in which intramedullary nailing is planned. Also, early surgical intervention appears to have a beneficial effect on the success of closed reduction.

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Conflict of interest

The authors warrant that they do not have any financial and personal relationships with other people, or organisations, that could inappropriately influence (bias) this work, all within 3 years of the beginning the work submitted.

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Authors and Affiliations

  1. Ankara Numune Training and Research Hospital, First Clinics of Orthopaedics and Traumatology, Ankara, Republic of Turkiye

    Ahmet Ozgur Yildirim, Ozdamar Fuad Oken, Murat Gulcek & Ahmet Ucaner

  2. Çan State Hospital/Clinic of Orthopaedics and Traumatology, Karşıyaka Mah. Gonca Sok. 3/2 Çan/Çanakkale, Ankara, Republic of Turkiye

    Yusuf Alper Katı

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  1. Ahmet Ozgur Yildirim
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  2. Ozdamar Fuad Oken
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  3. Yusuf Alper Katı
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  4. Murat Gulcek
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  5. Ahmet Ucaner
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Correspondence to Yusuf Alper Katı.

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Yildirim, A.O., Oken, O.F., Katı, Y.A. et al. Factors affecting the closed reduction of diaphyseal fractures of the femur. Eur J Orthop Surg Traumatol 23, 945–951 (2013). https://doi.org/10.1007/s00590-012-1107-8

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  • DOI: https://doi.org/10.1007/s00590-012-1107-8

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