@entity3330 are usually not amenable to closed reduction. The purpose of this study was to evaluate a series of @entity1 who had undergone four pins assisted reduction and intramedullary nail fixation to determine the therapeutic effect of this closed reduction technique. Between December 2010 and January 2013, 15 consecutive @entity1 with @entity3330 were treated with four pins assisted reduction at our hospital. The @entity1 was placed in a supine position on a radiolucent @entity174 table and a gentle traction was attempted on the limb. Usually, the proximal @entity174 segment exhibited the typical @entity717 , and abduction, the middle segment exhibited adduction and distal @entity174 segment exhibited flexion. Four Schanz pins were placed percutaneously to @entity4682 one cortex and did not penetrate into the medullary cavity, and the "T" sharp handles were fixed on the Schanz pins. The fragments were then reduced by reversing the deforming forces for segmental @entity174 by two assistants. And then, the reduction could be easily achieved and intramedullary nail fixation was performed. Radiographs were evaluated for the quality of the reduction and @entity174 union. Closed reduction was achieved in all @entity1 using the four pins technology. All 15 @entity174 united uneventfully. No @entity1 had a rotational malunion or limb length discrepancy at the time of the last follow-up. Thirteen of the fifteen (86.7%) @entity1 had anatomic reduction and two of them (13.3%) had minor varus alignment of 3   and 5  . Knee stiffness was observed in 2 @entity1 and no implant failure was observed. Surgical treatment of @entity3330 with four pins assisted reduction and intramedullary nail fixation techniques can result in excellent reductions and a high union rate.

Four pins assisted XXXX : a technique for closed reduction.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity4682 :: ('2158', 'Gene') :: ['fix'] @entity717 :: ('MESH:D009069', 'Disease') :: ['deformity of flexion, external rotation'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['segmental femoral fractures', 'complex segmental femoral fractures', 'Complex segmental femoral fractures']
@entity3330 :: (MESH:D005264,Disease) :: ['reduction of complex segmental femoral fractures']
