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. 2007 Oct;31(5):697-702.
doi: 10.1007/s00264-006-0233-5. Epub 2006 Oct 17.

Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone

Richard Gosselin  1 , Daniel Lavaly
Affiliations

Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone

Richard Gosselin et al. Int Orthop. 2007 Oct.

Abstract
in English, French

A retrospective study of 53 consecutive adult patients with 54 femoral shaft fractures treated with Perkins traction over a 25-month period was carried out. Mean length of stay was 52.1 days (range 25-108), and mean duration of traction was 45.0 days (range 23-66). At a mean follow-up of 4.6 months (range 3-9), 50 (92.6%) had healed and 5 (9.3%) had a malunion. There were 4 (7.4%) non-unions, 3 (5.5%) had shortening of more than 2.5 cm and 2 (3.7%) had a re-fracture. The rate of pin tract infection was very high at 42.6% (23 patients).

Etude rétrospective de 53 patients consécutifs sur 25 mois, présentant une fracture de la diaphyse fémorale traités par une traction selon Perkins. La durée moyenne de traction était de 45 jours (23–66) et la durée d’hospitalisation de 52.1 jours (25–108). A un délai moyen de 4.6 mois (3–9), 50 fractures (92.6%) étaient consolidées, 5 (9.3%) avec cal vicieux. Il y avait 4 (7.4%) non consolidation, 3 (5.5%) avaient un raccourcissement de plus de 2.5 cm et 2 (3.7%) avaient une fracture itérative. Le taux d’infection sur broche était très élevé, à 42.6% (23 patients).

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Figures

Fig. 1
Fig. 1
Active Perkins exercises in extension
Fig. 2
Fig. 2
Active Perkins exercises in flexion
Fig. 3
Fig. 3
Active ROM exercises of hip and knee can also be done in the upright position
See this image and copyright information in PMC

References

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