European Journal of Molecular & Clinical Medicine

Abstract

Background:  Intramedullary nailing is the most popular procedure for treating femur shaft fractures while the patient is supine on a fracture table. This procedure carries a risk of compartment syndrome and pudendal nerve palsy. In this work, we describe a modified surgical procedure for this kind of fracture in the lateral decubitus position that involves reduction through a tiny incision at fracture site.
Methods: from June 2019 to June 2021, 25 patients with acute femoral shaft fractures who were treated using this technique and had at least one year of postoperative follow-up and were included in the study.
An incision is made at the fracture site using a minimally invasive surgical method, and the fracture is reduced in absence of fracture table with one finger or a bone hook in the lateral decubitus position.
 Results: all twenty-five fractures healed in an average of 20 weeks (range, 16–24 weeks). For this treatment, the average operating duration was 73 minutes, average c-arm shoot was 32 shoots,
Conclusion: This technique has the benefits of being quicker to perform, not requiring a traction table, having minimal blood loss, and being particularly effective for patients who have suffered multiple traumas.