Method Of Traction Research Articles

Smellie's Method of Forceps Traction

Smellie's Method of Forceps Traction

Interphalangeal joints: A method of digital skeletal traction which permits active motion

1. 1. A new method of digital skeletal traction is described, which is atraumatic and permits motion at the interphalangeal joints. 2. 2. Application of this method has been made with fingers in extension and in flexion. It has been observed that while the rate of return of function is the same for either position, flexion is preferable since the usefulness of the hand is much greater during the period of rehabilitation. 3. 3. The indications for digital traction are reviewed. 4. 4. Three pertinent cases are presented.

Novel Method of Digital Traction

Novel Method of Digital Traction

Novel Method of Digital Traction

Novel Method of Digital Traction

Novel Method of Digital Traction

Novel Method of Digital Traction

Novel Method of Digital Traction

Novel Method of Digital Traction

The double pin method in the treatment of fractures of the tibia and fibula

In fractures of the tibia and fibula with displacement, and those that have a tendency toward displacement, the double pin method is indicated. The advantages of this method are: (1) uniformity of procedure; (2) no operative team is necessary. Elaborate technic for reduction of fracture is done away with. (3) In our series, there has been no case of infection at the site of the Steinman pins. (4) Inasmuch as this method produces firm fixation, it has a particular advantage in the treatment of compound fractures. (5) The time and cost of hospitalization have been drastically reduced as compared with previous methods employed. (6) With the use of the double pin method we obtain firm immobilization of the fractured fragments as compared to the previous method of skeletal traction—suspension with one pin through the os calcis.

Fractures of shaft and neck of femur: Report of 119 cases

One hundred and nineteen children with fractures of the femur have been treated on the Children's Surgical Service of Bellevue Hospital from January 1, 1930 to December 31, 1935; 30 of these by the Modified Bryant's Overhead Suspension, 15 by reduction on a Hawley Table and the application of a continuous adhesive skin traction and a plaster spica cast and 72 by Russell's Method of traction and suspension. The procedures which gave uniformly good results in the 268 cases of fractures of the femur reported by Burdick and Siris in 1923 have been followed in this series with the exception that Russell's method of suspension has been added and has been found so satisfactory that it has gradually supplanted the cast and traction methods. In the case of infants and children under four years of age, the Modified Bryant's Overhead Pulley Suspension with sufficient weight to keep the buttocks uninterruptedly off the mattress, is recommended. The Russell Method of traction has been routinely adopted on the service for children older than four years of age for the following reasons; it is simple in its application and management; it is effectual in alining the fragments and it entails few nursing problems. The method permits early active motion and results in an exuberant amount of callus and complete restoration of function. The incidence of satisfactory apposition of the fragments was higher with Russell Traction than with other methods that we have used. This in part can be attributed to the obligatory application of the Thomas splint to the injured limb by the ambulance surgeon before transporting the patient to the hospital from the site of accident. There was no residual shortening in 109 of the 115 cases of fractures of the shaft of the femur. Three children in this group of 119 cases could not be traced. The others were followed from three months to six years. There was only one case in this series of separation of the upper epiphysis and none of the lower. One case of separation of the lower epiphysis occurred in our previous group. The separation of the upper epiphysis was effectually reduced by Russell Traction with the limb in abduction and internal rotation. Fractures of the neck of the femur in children can be effectively reduced and treated with comfort in Modified Russell Traction the limb being held in abduction and internal rotation. In this series of fractures of the shaft and neck of the femur there was no case of non-union. When the anatomical approximation of the fragments of bone was absent the normal continuity and contour of the shaft of the femur became re-established within two to three years. Open operation was not indicated in any case of this series and is rarely justified in children unless some mechanical interposition prevents union after prolonged immobilization.

THE VALUE OF INTERMITTENT TRACTION IN SPINAL ANESTHESIA

Any surgeon with experience in abdominal operations performed under spinal anesthesia knows that downward traction on the liver or on the stomach, of a sufficient degree to give adequate exposure to the common duct or to the lesser curvature of the stomach, is wont to cause an uncontrollable vomiting reflex. This reflex is accompanied by great discomfort in the epigastrium and is annoying to the patient, in that it produces mental distress as well as physical discomfort. This adds much to the operative difficulties. During the past two years, we have employed in our clinic a method of intermittent traction in which the patient aids materially in obtaining the required exposure, by periods of straining, or blowing under compression. By this method we have been able almost to abolish this annoying traction reflex. For exposure of the gallbladder and liver duct, forceps are placed on the fundus of the gallbladder

Simplified method of traction for finger fractures

Simplified method of traction for finger fractures

Treatment of fractures of the femur by the Hamilton Russell method of traction

Treatment of fractures of the femur by the Hamilton Russell method of traction