Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table

Year 2026, Volume: 2 Issue: 1, 27 - 33, 01.01.2026

Yüksel Uğur Yaradılmış , Ali Teoman Evren , Mustafa Caner Okkaoglu , Anıl Taşkesen İsmail Demirkale , Murat Altay , Hakan Uslu , Oğuzhan Çiçek

https://doi.org/10.65559/sanatoriummedj.1752773

Abstract

Background: The aim of the study was to present the results of the supine position without traction table in the proximal femoral nailing surgery and to compare the semi-lithotomy supine position with the straight supine position.
Methods: We retrospectively reviewed 125 intertrochanteric femur fracture patients. All patients were operated in supine position with manual traction. Two different peroperative setup techniques were used according to the surgeon's preference and patients were grouped according to this technique: Group 1: semi-lithotomy supine position (n=80) and Group 2: straight supine position (n=45). Peroperative fluoroscopy evaluation, operation time, reduction method, reduction quality and lag screw position, blood transfusion, postoperative hospitalization time, implant failure and nonunion were compared between groups.
Results: The mean age of the patients was 77.2 ± 12.04 (65-93) years and gender ratio (F/M) was 2/1. Operation time shortness (48.8±7.5 minutes), blood transfusion 1 units/patients. Baumgartner reduction criteria; %91 good and Cleveland zone is most commonly (%70) on zone 5. Failed ratio was %4. There were no statistical difference in terms of operation time, blood transfusion reduction quality, lag screw position, reduction methods between two groups. However, there was statistical significant on lateral fluoroscopic evaluation (<0.001).
Conclusion: Supine position without traction table was successful in PFN surgery. Reliability in fluoroscopic imaging was successful in both lateral and anteroposterior plane in the semi-lithotomy supine position.

Keywords

Hip fracture , pertrochanteric femoral fracture , cephalomeduller nail , supine position , manuel traction , surgery technique

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