Pre-Operative Traction in Femoral Fractures for Pain Management: A Meta-Analysis of Comparative Studies | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 2، دوره 12، شماره 10، دی 2024، صفحه 683-689 اصل مقاله (724.09 K) | ||
| نوع مقاله: SYSTEMATIC REVIEW | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2024.78869.3622 | ||
| نویسندگان | ||
| Jean Tarchichi1؛ Mohammad Daher2؛ Ali Ghoul1؛ Michel Estephan3؛ Jad Mansour* 3 | ||
| 1Hotel Dieu de France, Orthopedics department, Beirut, Lebanon | ||
| 2Division of Orthopaedic Surgery, Brown University, Providence, RI, USA | ||
| 3Division of Orthopaedic Surgery and Sports Medicine, McGill University Health Centre, Montreal, Quebec, Canada | ||
| چکیده | ||
| Objectives: This meta-analysis studies and assesses the pain relief effect of different pre -operative traction systems in proximal and femoral shaft fractures as this subject is still debated and no clear guidelines are established. Methods: PubMed, Cochrane, Embase and Google Scholar (page 1-20) were searched until January 2024. The clinical outcomes collected consisted of pain scales following traction. Results: Two randomized clinical trials were included to compare skeletal (72 patients) to skin traction (80 patients) and eight randomized clinical trials with one prospective study were included to compare traction (457 patients) versus no traction (439 patients). Our results revealed no differences in terms of post-operative pain VAS between both the skeletal and skin traction as well as between traction and no traction. Conclusion: No added benefit of traction was observed when pain relief is the main consideration. Furthermore, with their different potential complications, systematic pre-operative traction should not be implemented in all femoral fractures. Level of evidence: IV | ||
| کلیدواژهها | ||
| Femoral shaft fracture؛ Hip fracture؛ Intertrochanteric fracture؛ Skeletal traction؛ Skin traction | ||
| مراجع | ||
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