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4.Effect of preoperative skeletal traction and skin traction on operative indicators and functional outcome of patients with femur fractures.

China Journal of Orthopaedics and Traumatology 2014;27(10):800-803

OBJECTIVETo compare the effect on surgical indicators and functional outcome between preoperative skeletal traction and skin traction for adult femoral fracture and guide the choice of preoperative traction method of adult femoral fractures.

METHODSFrom February 2008 to September 2012, 68 patients aged greater than 18-year-old with femoral fractures were treated and randomly divided into two groups according hospitalization order,the odd with skeletal traction of tibial tubercle (group A) and the even with skin traction (group B). In group A, there were 25 males and 9 females with an average age of (36.3±9.9) years old,including 11 cases with transverse fracture, 15 cases with oblique fracture, 8 cases with spiral fracture. In group B, there 26 males and 8 females with an average age of (37.1±11.0) years old,including 10 cases with transverse fracture, 13 cases with oblique fracture,11 cases with spiral fracture. The operative time,blood loss,the number and amount of blood transfusion ,fracture healing time, hemoglobin, pain scores and functional scores between two groups were analyzed and compared. Results:All patients were followed up, the follow-up time was (33.5±6.5) months in group A, (31.3±7.5) months in groupB. In group A,the operation time was (108.8±14.2) min and the intraoperative blood loss was (383.1±117.1) ml and the postoperative blood transfusion was 14 cases and the blood transfusion was (350.0±122.5) ml and the average bone healing time was(15.0±3.3) weeks. In group B, the operation time was (111.6±12.7) min and the intraoperative blood loss was (392.0± 116.7) ml and the blood transfusion was 11 cases and the blood transfusion was(327.3±129.1) ml and the average healing time was (15.5±3.4) weeks. These obseration indicators had no significant difference between two groups. There was no significant difference between two groups in terms of Hemoglobin, the pain scores before and after traction, the femoral fractures efficacy score,knee function score and knee range.

CONCLUSIONPreoperative skeletal traction does not reduce surgery time, blood loss and pain and so on. The bone healing time and limb functional outcomes were also not significantly improved.

Adult ; Blood Loss, Surgical ; Bone and Bones ; surgery ; Dermatologic Surgical Procedures ; Female ; Femoral Fractures ; physiopathology ; surgery ; Fracture Fixation, Internal ; Fracture Healing ; Humans ; Male ; Middle Aged ; Preoperative Period ; Traction ; Young Adult

10.The clinical study of dexamethasone in treatment of sudden hearing loss and the influence on nitric oxide and glutathione peroxidase

Yuli XIAO ; Lei ZHANG ; Jie YAN

Chinese Archives of Otolaryngology-Head and Neck Surgery 2006;0(02):-

1.Summary of the 9th Asian Congress of Pediatric Nephrology.

2.Diagnosis and differential diagnosis of cervical intraepithelial neoplasias and related disease.

3.Adenocarcinoma of cervical: diagnosis and differential diagnosis.

4.Effect of preoperative skeletal traction and skin traction on operative indicators and functional outcome of patients with femur fractures.

5.Report of a case with pure red cell aplasia following recombinant human erythropoietin treatment.

6.Role of calcineurin/NFATc1 signaling pathway in cardiovascular development.

7.Classification and morphology of gastric intraepithelial neoplasia.

8.A case of heart valve involvement in pediatric systemic lupus erythematosus.

9.Renal tuberculosis in children: report of 2 cases.

10.The clinical study of dexamethasone in treatment of sudden hearing loss and the influence on nitric oxide and glutathione peroxidase

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