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. 2019 Sep;47(9):4242-4250.
doi: 10.1177/0300060519857857. Epub 2019 Jul 16.

Percutaneous antegrade nailing with reductor-T tape pin is effective and well tolerated in patients with ipsilateral multisegmental femoral shaft fractures

Wei Wang  1 , Jianning Liu  1 , Zhiyong Li  1 , Guohui Xu  1 , Rongling Wei  1 , Xu Li  1 , Xiangbei Qi  1
Affiliations

Percutaneous antegrade nailing with reductor-T tape pin is effective and well tolerated in patients with ipsilateral multisegmental femoral shaft fractures

Wei Wang et al. J Int Med Res. 2019 Sep.

Abstract

Objective: This study was performed to investigate the efficacy and safety of percutaneous antegrade nailing with a reductor-T tape pin in the treatment of ipsilateral multisegmental femoral shaft fractures (IMFSFs).

Methods: Nineteen patients with IMFSFs underwent antegrade nailing with a reductor-T tape pin by percutaneous techniques. The operation time, reduction time, fluoroscopy time, blood loss, fracture union time, and complications were recorded.

Results: All 19 patients (100%) achieved technical success. The mean and median operation time were 62.42±16.27 and 60 (range, 40–105) minutes, respectively; the mean and median reduction time were 11.47±3.78 and 10 (range, 8–22) minutes, respectively; the mean and median fluoroscopy time were 16.63±6.10 and 15 (range, 10–35) s, respectively; and the mean and median blood loss were 185.26±62.75 and 180 (range, 110–350) mL, respectively. Additionally, all 19 patients (100%) achieved fracture union within a mean and median time of 3.95±1.75 and 3 (range, 3–9) months, respectively; most patients [n=14 (73.7%)] achieved fracture union within 3 months. No obvious complications occurred during the study.

Conclusion: Antegrade nailing with a reductor-T tape pin by a percutaneous technique is effective and well tolerated in patients with IMFSFs.

Keywords: Ipsilateral multisegmental femoral shaft fracture; antegrade nailing; closed reduction; intramedullary nail; percutaneous technique; reductor-T tape pin.

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Figures

Figure 1.
Figure 1.
Representative image of IMFSFs. This image was obtained from a 36-year-old man with IMFSFs caused by a traffic accident. IMFSFs, ipsilateral multisegmental femoral shaft fractures.
Figure 2.
Figure 2.
Image of reductor-T tape pin.
Figure 3.
Figure 3.
Image of soft tissue separator.
Figure 4.
Figure 4.
Fracture reduction by reductor-T tape pin. IMFSFs were reduced using the reductor-T tape pin by traction via a fracture table. (a) Image of a proximal displacement fracture. (b) Image of a distal displacement fracture. (c) Image of operation. IMFSFs, ipsilateral multisegmental femoral shaft fractures.
Figure 5.
Figure 5.
Successful fixation by antegrade nailing using reductor-T tape pin. (a) Anteroposterior view of successful fixation. (b) Lateral view of successful fixation. (c) Intraoperative skin incision.
See this image and copyright information in PMC

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