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PubMed2001

Traction alopecia with vasculitis in an Old English sheepdog.

A seven-year-old entire male Old English sheepdog was presented with a well circumscribed, completely alopecic area on the top of its head, located where a rubber band had been used for several years. A punch biopsy was taken from the centre of the lesion and histological examination revealed cell-poor, interface mural folliculitis with follicular atrophy and vasculitis. A diagnosis of traction alopecia was made. Oral pentoxyfilline, at 400 mg twice daily, was prescribed for two months, with a slight improvement. To the authors' knowledge, this is the first report of canine traction alopecia accompanied by vascular damage. This vascular damage may represent the pathomechanism of this type of alopecia in the dog.

Alopecia↗

PubMedDate not supplied

Swing design dynamic traction splinting for the treatment of intra-articular fractures of the digits.

The concept of treating acute PIP fractures with traction splinting to allow early motion to mitigate against the known deleterious effects of prolonged immobilization of this problematic joint has been around for a long time and was made popular by Schenck. Our author in this PF piece has modified a splint design of Griet Van Veldhoven to further refine the dynamic traction approach.

Equipment Design↗

PubMed1981

A prospective study of deep vein thrombosis of the leg in children on halo-femoral traction.

This prospective study was performed to determine the true incidence of deep vein thrombosis of the lower limb in children who had undergone halo-femoral traction to correct scoliosis before operation. Bilateral ascending phlebography of the lower limbs was performed on 54 children two days before spinal fusion and Harrington rod instrumentation. Two patients developed clinical evidence of thrombosis whilst on traction. This diagnosis was confirmed by phlebography. The other 52 children had no clinical evidence of thrombosis and their venograms were normal. The incidence of thrombosis was 3.7 per cent and clinically silent thrombosis did not occur.

Adolescent↗

PubMed1983

The diagnostic value of traction during radiography in diseases of the hip. A preliminary report.

A diastasis between the femoral head and the acetabulum can be achieved for a short while by the application of manual traction on the lower extremity. The intra-articular low-pressure area can be visualised radiographically and is known as a "vacuum phenomenon". The resulting arthrogram clearly outlines the shape, thickness and extent of the cartilage. In the presence of an effusion the diastasis occurs without a vacuum phenomenon. This simple, non-invasive and inoffensive method of traction radiography will not only show abnormalities of the cartilage but also demonstrate the presence or absence of an effusion of the hip.

Acetabulum↗

PubMed1985

Hinged cast and roller traction for fractured femur. A system of treatment for the Third World.

Hinged casts and roller traction were used in two developing countries to treat fractured femora, most of which were due to road traffic accidents or civil violence. This method of treatment, developed by Neufeld, is particularly useful in the Third World because it uses local materials, adapted in a hospital workshop, and circumvents the difficulties and complications of standard traction and of operative treatment. The results are reported from 11 patients treated in Uganda in 1979 and from 110 treated in the Dominican Republic in 1981 and 1982. All but one fracture united without complication or significant shortening after a brief period in hospital. The method was easily taught to hospital staff and is strongly recommended.

Adolescent↗

PubMed1986

Supracondylar fractures of the humerus in children. Treatment by straight lateral traction.

Ninety-eight children with severely displaced supracondylar fractures of the humerus were treated by straight lateral traction. After a mean follow-up period of 3.5 years there were 90 satisfactory and only eight unsatisfactory results. Cubitus varus was present in only four children, which compares favourably with the results of operative treatment. The indications for straight lateral traction, and the advantages of this method, are discussed.

Adolescent↗

PubMed2004

Treatment of supracondylar fracture of the humerus in children by skeletal traction in a brace.

In 1980, we developed a specially designed brace for treating supracondylar fractures of the humerus in children, along with an easy and safe technique of reduction by skeletal traction. This method, which takes into consideration only the medial tilting and anterior angulation of the distal fragment, achieves complete reduction, ignoring any lateral, posterior and minor rotational displacements of the fragment. Skeletal traction is applied through a screw inserted into the olecranon and the angulation at the fracture site is reduced regardless of the anatomical position without manipulation. We treated 193 children with displaced supracondylar fractures of the humerus using this method between 1980 and 2001. Only four children (2%) developed cubitus varus. The majority obtained an excellent range of movement at the elbow; one had a 25 degree limitation of flexion. This technique is an effective and easy method of treating supracondylar fractures of the humerus in children.

Braces↗

PubMed2004

Complex fracture-dislocation of the proximal interphalangeal joint of the hand. Results of a modified pins and rubbers traction system.

We reviewed 13 patients with a complex fracture-dislocation of the proximal interphalangeal joint of a finger and one patient with a complex fracture-dislocation of the interphalangeal joint of thumb. We had treated these injuries using a pins and rubbers traction system which had been modified to avoid friction of the pins against the bone during mobilisation of the joint in order to minimise the risk of osteolysis. A Michigan hand outcome questionnaire was used for subjective assessment. The active range of movement (AROM) of the proximal and distal interphalangeal joints and the grip strength were used for objective assessment. The mean follow-up was 34 months (12 to 49). The mean normalised Michigan hand outcome score was 84. The mean AROM of the proximal interphalangeal joint was 85 degrees and that of the distal interphalangeal joint 48 degrees. The mean grip strength was 92% of the uninvolved hand. Twelve patients have returned to their original occupations. There has been no radiological osteolysis or clinical osteomyelitis. This modified traction system has given acceptable results with a low rate of complications. It is light, cheap, effective and easy to apply.

Adolescent↗

PubMedDate not supplied

[A novel device for active shoulder rehabilitation with glenohumeral traction or compression].

The equipment available for rehabilitation of patients with joint conditions still lacks a device that, in common with usual physiotherapeutic measures (manipulation, proprioceptive neuromuscular facilitation, Bobath therapy), is based on traction and/or compression or oscillating forms. The novel "Shoulder Rotator" is such a simple device for the variable treatment of shoulder disorders in all three spatial dimensions. After individual instruction, the patient performs rotating glenohumeral exercises with simultaneous glenohumeral joint traction, compression, or oscillations against static or dynamic resistance. The "Shoulder Rotator" is similar to the established continuous passive motion device for the shoulder and is mounted on a mobile chair. The electronic device control is computerised and permits a wide variety of treatment options, individual regimes, and documentation. The oscillating, compression/distraction mode of operation provides an analgesic effect. The isolated compression mode along the rotatory axis enables conditioning of joint proprioception. The distraction mode along the rotatory axis facilitates muscular relaxation. Resistive rotatory exercises strengthen the rotatory glenohumeral muscles and help centre the humeral head in the glenoid. In addition to the advantage of adding documentation of treatment progress as required for evidence-based medicine, this novel device may bring about a cost-effective, genuine quality improvement in shoulder rehabilitation.

Equipment Design↗

PubMed1978

Cotrel traction, exercises, casting in the treatment of idiopathic scoliosis. A pilot study and prospective randomized controlled clinical trial.

A pilot study of ten individuals with adolescent-onset idiopathic scoliosis demonstrated that a week of Cotrel traction and exercises did not improve curve correction obtained by the application of an elongation, derotation, flexion (EDF) cast. There was, however, a significant improvement on lateral bending correction during this period. A prospective, randomized, controlled clinical trial showed that the exercise programme and not the traction was responsible for rendering the spine less rigid.

Casts, Surgical↗

PubMed1979

Torsion deformities after traction treatment of femoral fractures in children.

The torsion of both femurs was investigated in 55 patients who had been treated 5-13 years earlier at the age of 1-16 years for femoral shaft fractures. By comparing the anteversion angle of the contralateral hips, determined by the Rippstein method, torsion deformities exceeding 10 degrees were found in the fractured femur of 10 patients. The maximum deformity found was + 27 degrees. None of the patients had complaints due to the torsion deformity. Deformities appeared more frequently in patients treated with adhesive overhead traction of the fractured leg than in patients treated with wire traction with the limb on an oblique frame. However, the difference was not highly significant (0.05 less than P less than 0.10). There was not correlation between age at the time of injury and torsion abnormalities and no correlation between the length of the observation period and the residual deformity, indicating growth correction. Examination of the rotational mobility of the hips was found to be a suitable screening test in the diagnosis of deformities exceeding 10 degrees. Radiological investigation of the anteversion angle of the femoral neck is necessary in the final assessment of a torsion deformity.

Child↗

PubMed1992

A portable traction device for cervical fractures. Technical note.

A lightweight and completely self-contained traction device is described. It has been used to immobilize the cervical spine during radiographic evaluation and treatment of patients with cervical fracture, and for therapeutic traction in patients with a ruptured disc. Other applications are possible, but have not yet been investigated.

Cervical Vertebrae↗

PubMedDate not supplied

Equinus contracture following Bryant's traction.

A case of a 14-year-old girl with both foot and hip sequelae secondary to the use of Bryant's traction at the age of 2 years, 8 months, is presented. It serves as a reminder of the dangers of Bryant's traction, which should be used with discretion, if at all.

Adolescent↗

PubMed1999

Principles of traction.

Traction has been the mainstay of orthopaedic management for thousands of years, with its use recorded by the Aztecs and ancient Egyptians. In more recent times, however, the advances in surgical reductions of fractures and muscutoskeletal disruptions, coupled with the economic imperatives of reducing hospital bed stay days has seen a reduction the use of prolonged periods of traction.

Humans↗

PubMedDate not supplied

[Influence of coexisting pseudo-radicular syndrome on the results of traction treatment in cases of lumbar intervertebral disk hernia].

105 patients with lumbar disc disease, confirmed by radiculography, magnetic resonance imaging or computed tomography were investigated to evaluate the influence of pseudoradicular syndrome on therapeutic effects. On the basis of characteristic clinical symptoms of radicular and pseudoradicular syndrome patients were divided into two groups: 45 patients with dominant pseudoradicular syndrome and 35 persons with dominant radicular syndrome. All patients underwent clinical examination before and after traction treatment. Clinical evaluation included: the pain syndrome, postural disturbances and nerve root dysfunctions. The effects of the traction treatment were significantly worse in patients with the pseudoradicular syndrome. These results suggest the necessity of differential therapeutic approach in lumbar disc disease patients depending on the predominance of the pathomechanism of disease.

Adult↗

PubMedDate not supplied

[Treatment of a case of extreme micrognathia. Significance of continuous traction].

A case of very marked mandibulary atrophy was corrected by osteotomy and bone grafting of the ascending ramus. This procedure was performed in two stages with continuous traction of the mandible. This traction avoided the retro-displacement caused by the skin and muscle contracture and stabilized the post-operative immobilization.

Adult↗

PubMed2000

Fifty-six cases of protrusion of lumbar intervertebral disc treated by penetration and oral administration of Chinese decoction plus traction.

Fifty-six cases of the protrusion of the lumbar intervertebral disc in the treatment group were treated by drug-penetration and oral administration of traditional Chinese decoction plus traction, and the other 35 cases in the control group by oral administration of Chinese decoction and traction. The results showed that the cure rate in the treatment group was 83.9%, and that in the control group was 57.1%, with a statistically significant difference between the two groups (P < 0.01), indicating that the former is a more effective therapy for protrusion of the lumbar intervertebral disc.

Adult↗

PubMed2001

[The comparison of the results of treatment of displaced supracondylar humeral fractures by skeletal traction and percutaneous K-wire fixation in children].

The aim of the study was to compare of the results of treatment of displaced supracondylar humeral fractures by skeletal traction and percutaneous K-wire fixation in children. We assessed retrospectively the type and result of treatment of 23 children. We obtained very good results in all cases treated by closed reposition secured by percutaneous K-wire fixation. In the group treated by skeletal traction, in 5 cases reposition was inadequate with subsequent limitation of range of motion in the elbow joint. According to our results closed reposition and percutaneous fixation should be the method of choice in displaced supracondylar humeral fractures in children.

Adolescent↗