Double Reverse Traction‐Assisted Versus Traditional Freehand Closed Reduction With Hexapod External Fixator in Treating Open Tibial Shaft Fractures: A Retrospective Study

In this retrospective study, both reduction techniques achieved favorable therapeutic outcomes. However, the double reverse traction-assisted technique was associated with greater efficiency in fracture reduction, more accurate radiographic alignment, and a nonsignificant trend toward lower complications compared to traditional freehand reduction. These results indicate that the double reverse traction-assisted technique is a feasible and promising alternative, but its definitive advantages need to be confirmed by larger, prospective, randomized controlled trials.