Pre-Operative Traction in Femoral Fractures for Pain Management: A Meta-Analysis of Comparative Studies.

IF 1.2 Q3 ORTHOPEDICS Archives of Bone and Joint Surgery-ABJS Pub Date : 2024-01-01 DOI:10.22038/ABJS.2024.78869.3622

Jean Tarchichi, Mohammad Daher, Ali Ghoul, Michel Estephan, Jad Mansour

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Abstract

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.

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股骨骨折术前牵引止痛：比较研究的 Meta 分析。

目的：本荟萃分析研究并评估了不同的术前牵引系统对股骨近端和股骨干骨折患者的镇痛效果，因为这一问题仍存在争议，也没有明确的指导方针：这项荟萃分析研究和评估了不同术前牵引系统对股骨近端和股骨干骨折患者的镇痛效果，因为这个问题仍存在争议，也没有明确的指导方针：方法：检索了截至 2024 年 1 月的 PubMed、Cochrane、Embase 和 Google Scholar（第 1-20 页）。收集的临床结果包括牵引后的疼痛量表：结果：纳入了两项随机临床试验，对骨骼牵引（72 名患者）和皮肤牵引（80 名患者）进行了比较；纳入了八项随机临床试验和一项前瞻性研究，对牵引（457 名患者）和无牵引（439 名患者）进行了比较。我们的结果显示，骨骼牵引和皮肤牵引以及牵引和不牵引在术后疼痛 VAS 方面没有差异：结论：以缓解疼痛为主要考虑因素时，没有观察到牵引的额外益处。此外，由于牵引可能带来不同的并发症，因此不应对所有股骨骨折患者实施系统的术前牵引。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Bone and Joint Surgery-ABJS ORTHOPEDICS-

CiteScore

2.30

自引率

0.00%

发文量

128

期刊介绍： The Archives of Bone and Joint Surgery (ABJS) aims to encourage a better understanding of all aspects of Orthopedic Sciences. The journal accepts scientific papers including original research, review article, short communication, case report, and letter to the editor in all fields of bone, joint, musculoskeletal surgery and related researches. The Archives of Bone and Joint Surgery (ABJS) will publish papers in all aspects of today`s modern orthopedic sciences including: Arthroscopy, Arthroplasty, Sport Medicine, Reconstruction, Hand and Upper Extremity, Pediatric Orthopedics, Spine, Trauma, Foot and Ankle, Tumor, Joint Rheumatic Disease, Skeletal Imaging, Orthopedic Physical Therapy, Rehabilitation, Orthopedic Basic Sciences (Biomechanics, Biotechnology, Biomaterial..).