From 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.
CONCLUSION: Preoperative 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.