Anterior approach without traction table: A means of saving time and money in hemiarthroplasty for femoral neck fracture? A case-matched study with and without traction table.
Anterior approach
Femoral neck fracture
Hip replacement
Installation
Standard table
Time
Journal
Orthopaedics & traumatology, surgery & research : OTSR
ISSN: 1877-0568
Titre abrégé: Orthop Traumatol Surg Res
Pays: France
ID NLM: 101494830
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
05
10
2019
revised:
30
12
2019
accepted:
21
01
2020
pubmed:
8
4
2020
medline:
17
6
2021
entrez:
8
4
2020
Statut:
ppublish
Résumé
The costs incurred by management of displaced femoral neck fracture are a public health issue. The anterior approach can be used for partial hip replacement, but costs in terms of equipment and time incurred by using a traction table have not to our knowledge been estimated in this indication. We therefore performed a case-control study, comparing (1) installation and deinstallation times (IT, DT) in partial hip replacement using a standard versus a traction table (ST, TT), and (2) operating times, limb-length radiography and intraoperative complications. Performing the anterior approach on a standard table saves installation and deinstallation time and operating time, without leading to more intraoperative complications. A comparative retrospective study included 102 patients (mean age, 84.8±8 years; 46 ST, 56 TT). Installation time (IT) was calculated between entry in the operating room and performance of the incision; operating time (OT) between incision and closure; and deinstallation time (DT) between closure and leaving the operating room. Mean IT in ST (25.5±6.2min) was significantly shorter than in TT (33.9±6.2min) (p=1.1*10 Patient installation on a standard table reduced installation, deinstallation and operating time compared to use of a traction table, without increasing the complications rate. III, case-control study.
Sections du résumé
BACKGROUND
BACKGROUND
The costs incurred by management of displaced femoral neck fracture are a public health issue. The anterior approach can be used for partial hip replacement, but costs in terms of equipment and time incurred by using a traction table have not to our knowledge been estimated in this indication. We therefore performed a case-control study, comparing (1) installation and deinstallation times (IT, DT) in partial hip replacement using a standard versus a traction table (ST, TT), and (2) operating times, limb-length radiography and intraoperative complications.
HYPOTHESIS
OBJECTIVE
Performing the anterior approach on a standard table saves installation and deinstallation time and operating time, without leading to more intraoperative complications.
MATERIALS AND METHODS
METHODS
A comparative retrospective study included 102 patients (mean age, 84.8±8 years; 46 ST, 56 TT). Installation time (IT) was calculated between entry in the operating room and performance of the incision; operating time (OT) between incision and closure; and deinstallation time (DT) between closure and leaving the operating room.
RESULTS
RESULTS
Mean IT in ST (25.5±6.2min) was significantly shorter than in TT (33.9±6.2min) (p=1.1*10
DISCUSSION
CONCLUSIONS
Patient installation on a standard table reduced installation, deinstallation and operating time compared to use of a traction table, without increasing the complications rate.
LEVEL OF EVIDENCE
METHODS
III, case-control study.
Identifiants
pubmed: 32253137
pii: S1877-0568(20)30061-X
doi: 10.1016/j.otsr.2020.01.009
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
583-588Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.