Postless hip traction table for combined femoral and pelvic fractures

In multiple injured patients, the association of femoral and pelvic fractures is not uncommon. Femoral reduction and fixation in those patients may be performed with a traction table and a perineal post, but it may result in various groin-related complications, including the displacement of the pubic rami, pudendal nerve neurapraxias, vaginal tears, and scrotal necrosis. The aim of this study was to describe a technique for femur fracture distraction without the use of a perineal post in patients with pelvic trauma. Here, we describe the technical details and 5 cases of femoral fracture associated with pelvic fractures treated with a postless distraction technique. Our preliminary results using this technique show a sufficient distraction to allow reduction and internal fixation of the femoral fracture with a standard femoral nail.