Volume 36, Issue 5 (2-2013)                   Research in Medicine 2013, 36(5): 61-65 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tavakkoli Darestani R, Kazemian G, Kermani S, Jamshidi M A. Comparison of supine position with the lateral decubitus position during surgery for femoral diaphyseal fractures. Research in Medicine. 2013; 36 (5) :61-65
URL: http://pejouhesh.sbmu.ac.ir/article-1-1106-en.html
Department of Orthopedics, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Gh_kazemian@yahoo.com
Abstract:   (21691 Views)
Abstract Background: Femoral malrotation is one of the most common complications following closed intramedullary nailing, (IMN). We hypothesized that the patients’ position during surgery can affect the incidence and severity of this complication. The aim of the study was to compare the incidence and severity of femoral malrotation in patients with femoral diaphyseal fractures treated with IMN in supine or lateral decubitus positions. Materials and methods: In a randomized clinical trial, 42 patients with femoral diaphyseal fracture were assigned to two equal groups: supine (S) and decubitus positions (LD) during surgery. Femoral anteversion was determined in the fractured and healthy sides at the first postoperative day and the difference between the two considered as the degree of malrotation. Finally, mean degree of malrotation and the rate of required revision surgery were compared between groups. Results: The mean degree of malrotation in LD group (12.5±7.8°) was significantly higher than the S group (7.8±4.4°) (p=0.021).Number of patients who required revision surgery (difference >15°) was the 30% in LD group versus 5% in the S group. Conclusion: Closed reduction of the femoral diaphyseal fractures using IMN in supine position is associated with decreased malrotation and revision surgery. Therefore, we recommend that for the treatment of closed femoral shaft fractures, IMN must be performed in supine position. Keywords: Femoral diaphyseal fracture, Malrotation, Position
Full-Text [PDF 158 kb]   (4025 Downloads)    
Type of Study: Original | Subject: Orthopaedy
Received: 2013/03/17 | Accepted: 2013/05/1 | Published: 2013/05/1

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Creative Commons License
This Journal is licensed under a Creative Commons Attribution 4.0 International License  | Research in Medicine

Designed & Developed by : Yektaweb