Abstract
BACKGROUND: To compare operative efficiency and safety profiles between a novel C-Flex Traction™ and conventional traction systems during supine intramedullary nailing of geriatric pertrochanteric fractures. METHODS: This retrospective study analyzed 52 geriatric patients with pertrochanteric fractures treated between January 2021 and December 2023. Participants were allocated to two groups: conventional traction table (TT, n = 29) and C-Flex Traction™ (n = 23). Perioperative metrics assessed included workflow efficiency (positioning duration, operative time), intraoperative parameters (blood loss, fluoroscopy times), radiographic outcomes (reduction accuracy, implant positioning), and postoperative functional recovery (Harris Hip Score) with complication surveillance. RESULTS: The cohorts demonstrated comparable baseline demographics and fracture patterns. Notably, the C-Flex Traction™ cohort exhibited a 50% reduction in preoperative workflow duration compared to conventional traction systems (15.0 ± 2.2 vs. 30.0 ± 2.8 min). No intergroup disparities emerged in operative duration, intraoperative blood loss, or radiographic outcomes (reduction quality: 87% vs. 86.2% anatomic alignment). A single traction-related complication (ankle pain) occurred in the TT group. CONCLUSION: The C-Flex Traction™ offers a novel alternative to conventional traction tables. By integrating dynamic, surgeon-controlled traction with fluoroscopic guidance, C-Flex Traction™ achieves anatomical reduction and stable fixation comparable to traditional methods while eliminating reliance on specialized equipment. Its streamlined workflow significantly reduces preoperative preparation time and surgical staffing demands, enhancing operational efficiency-particularly valuable in resource-constrained settings.