Intraoperative skeletal traction of the femur for fracture reduction

One of the most difficult tasks in fracture reduction and stabilization is achieving a correct alignment of the bone segment. This objective should be achieved without disrupting the blood supply to the bone, in order to have an active biological response. The techniques for Intraoperative Skeletal Traction (IST) facilitate the surgeon in achieving the objective in a consistent and predictable way.

What is it about?

Very aggressive and inconsistent reduction techniques are very likely to damage the bone vascular supply. If this is the case, avascular nonunion may develop as a consequence, or at least a delayed healing can occur.  Preoperative planning for fracture reduction is mandatory for the following reasons.
- Facilitating the reduction maneuvers by making them consistently reproducible.
- Reducing the surgical time for the benefit of the patient (and the surgeon).
- Reducing the aggressiveness of the procedure, creating the best possible condition for an active biological response.
- Reducing healing time, decreasing the risk of complications. 

Why is it important?

Reducing a fracture is not just putting pieces of bone together. It requires the application of many anatomic, physiologic and biomechanics concepts.  The consistent application of these concepts in a well-developed reduction technique is of benefit for the patient, thanks to the reduction of the surgical impact and potential complications, and for the surgeon, which will exploit her/his full potential for the care of the patient.

 Perspective