To explore the clinical application effects of two self-made tibial fracture traction and reduction devices in intramedullary nailing for tibial shaft fractures. A total of 63 cases treated with intramedullary nailing for tibial shaft fractures from January 2019 to October 2025 were analyzed and divided into three groups: A,B and C. Group A underwent surgery with an assistive traction and temporary fixation using a self-made ring-type axial traction multi-plane adjustment reduction device. Group B utilized a self-made small tibial fracture traction and reduction device for assistive traction and temporary fixation. Group C received traditional two-assistant traction and fixation plus intramedullary nailing. The surgical duration, intraoperative fracture reduction time, fluoroscopy frequency, intraoperative blood loss, postoperative fracture healing time, complications and Johner-Wruhs functional scores were compared among the three groups. All 63 patients successfully completed the surgery and were followed up for 3-26 months. Group A and Group B showed significantly shorter surgical duration, intraoperative fracture reduction time, fluoroscopy frequency and intraoperative blood loss compared to Group C with statistically significant differences (P<0.05). No statistically significant difference was observed between Group A and Group B (P>0.05). No significant differences were found among the three groups in postoperative fracture healing time, complications and Johner-Wruhs functional scores (P>0.05). The two self-made tibial fracture traction and reduction devices can assist in traction and temporary fixation during intramedullary nailing for tibial fractures, reducing assistant workload, shortening intraoperative fracture reduction time and surgical duration, decreasing fluoroscopy time, and minimizing intraoperative blood loss. They demonstrate favorable clinical outcomes and are worthy of clinical promotion.

Li Zhang, Jianping Deng, Xiuxia Yang. Application research of two types of self-made tibial fracture traction and reduction devices in intramedullary nail fixation for tibial fractures. Academic Journal of Agriculture & Life Sciences (2026), Vol. 7, Issue 1: 27-33. https://doi.org/10.25236/AJALS.2026.070105.

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