Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Traction”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 649 records · Page 36Linked to original sources
PubMed1990

Treatment of comminuted distal radial fractures with preliminary horizontal finger trap traction and a Roger-Anderson external fixation device.

Over a five-year period, 43 patients with comminuted distal radial fractures were treated with a Roger-Anderson external fixation device after the fracture was aligned in Strong's horizontal finger trap traction. Nineteen patients (21 wrists) were available for personal interview and radiographic follow-up. A 0.5-mm loss of radial height and an average loss of 2.4 degrees of palmar angulation presented. Range of motion (ROM) was excellent, stiffness was nonexistent or minimal in 81%, pain was nonexistent or minimal in 86%, and weakness of grasp was nonexistent or minimal in 81%. Complications were minimal; they included three pin tract infections, two of which required pin removal before they resolved. One patient fractured a pin that also required removal. Strong's horizontal finger trap traction and the Roger-Anderson external fixation device simplified the sometimes difficult treatment of this fracture. It seems to be most effective in young athletic individuals who have good bone stock and very comminuted fractures.

Adult↗
PubMedDate not supplied

[The results of using extraoral traction in children with a prognathic bite].

Primary and repeated lateral teleroentgenograms of the head of 37 children aged 4-8 with prognathic occlusion were analyzed, recorded on an average in 2 years after employment of a chin sling with extraoral traction. Analysis has shown normalization of the jaws and occlusion in the sagittal plane, resultant from limitation of mesial transposition of the mandible in the skull in the course of facial skeleton growth. This has been achieved at the expense of inhibition of longitudinal growth of the mandibular body and ascending branches more than twofold as against the reference values and was also a result of mandibular shift due to traction and of enhanced vertical transposition of the mandible in the skull due to distal rotation. The principal indications for the employment of chin sling in the management of prognathic occlusion are intensive growth of the mandible or a tendency to such growth, mesial position of the mandible in the skull, and a combination of these disorders, that may be the principal or additional factors contributing to the pathogenesis of this abnormality.

Cephalometry↗
PubMed1989

Acute volar compartment syndrome during skeletal traction in distal radius fracture. A case report.

Fractures of the distal end of the radius rarely cause acute compartment syndrome of the forearm. Acute compartment syndrome of the forearm occurred after a fracture of the distal end of the radius in a 17-year-old boy who developed symptoms after application of skeletal traction. Satisfactory recovery was obtained by early decompressive fasciotomy. In this case a combination of traction and elevation of the forearm appeared to have increased the susceptibility of the limb to acute compartment syndrome.

Adolescent↗
PubMedDate not supplied

Preoperative intermittent manual traction in congenital dislocation of the hip.

To avoid prolonged hospitalization and the complications of skin and skeletal traction, we have devised a method of intermittent preoperative manual traction in the treatment of congenital dislocation of the hip. Of 60 hips that were followed for more than 1 year, 88.3% had Class I or Class II results according to Severin's criteria. No hip in this series was complicated by avascular necrosis of the proximal femoral epiphysis.

Child↗
PubMed1986

Constant inclined pelvic traction for treatment of low back pain.

The authors describe a technique of continuous pelvic traction applied to a select group of 46 patients with low back pain, who had not responded to at least two weeks of treatment by bed rest and analgesic medication before hospitalization. The traction technique included the use of force equivalent to 25% of body weight, directed at an angle of (15) to the plane of the bed. A mechanical analysis of the technique is described and the results of treatment and the efficacy of the technique discussed.

Back Pain↗
PubMed1986

External compression with elastic bandages: its effect on the peripheral blood circulation during skin traction.

Experiments were performed in rabbits to evaluate the effects of varying degrees of external pressure on the venous circulation in a limb. For these studies, blood volumes and flow rates were determined on surgically exposed veins using a dropcounter. External compression of 30mmHg caused no impairment of the peripheral circulation. At this pressure, flow rates in the greater saphenous vein and popliteal vein were 74% and 124% of their basal rates, respectively. Venous blood flow was absent at pressures exceeding 70mmHg. In healthy human volunteers, the effects of external application of varying degrees of pressures with an elastic bandage during skin traction on the distal portion of the leg were evaluated by plethysmographic and thermometric techniques. Arterial pulsations obtained by photoelectric plethysmography at external limb pressures of 30mmHg were not significantly different in peak amplitude from those obtained without bandaging. External compression of 70mmHg resulted in a decrease in the basal amplitude at 60 minutes that persisted during the rest of the experiment. At 30mmHg compression, no significant changes of skin temperature were noted in the toe; but, at 70mmHg, the skin temperature dropped to 86% of its basal levels during the first hour followed by a further slow fall. Good immobilization of elastic bandages in skin traction was achieved at 30mmHg pressures. In a comparison of bandage application by skilled and unskilled persons, bandage pressures were much more likely to be optimum when the bandage was applied by the skilled.

Adult↗
PubMed1986

Epiphyseal traction to correct acquired growth deformities. An animal and clinical investigation.

In a canine model with a transepiphyseal distal femoral fracture, varus deformity was corrected and the arrested limb was lengthened using transphyseal traction (turnbuckle). Correction was possible without removing the transphyseal bone bridge operatively. Subsequent growth was not adversely affected in most animals. Based on this study, two patients with significant growth deformities secondary to an enchondroma were treated by epiphyseal traction. Although correction was achieved initially, both lost the length previously gained because of premature removal of the external fixator and/or subsequent early growth plate closure.

Animals↗
PubMed1966

Cervical traction in the home.

The indications for and contraindications to cervical traction are discussed. The social and economic advantages to be obtained from carrying out such treatment at home are obvious. A special technique is described which does not make use of weights and in which traction is applied in a position of flexion rather than of extension.

Cervical Vertebrae↗
PubMedDate not supplied

Early spica cast management of femoral shaft fractures in young children. A technique utilizing bilateral fixed skin traction.

A review was made of 20 of 27 consecutively treated patients under 9 years of age with femoral shaft fractures treated by early application of bilateral fixed skin traction spica cast. The patients were re-evaluated two or more years after treatment, clinically and radiologically. All patients were asymptomatic and unaware of any disability. Orthodiagrams revealed no disparity of leg length greater than 7 mm. Residual anterior bow of 12 degrees was present in two patients and in 5 rotational malalignment of 10 to 20 degrees was present. As compared with results treated in traction, this method provides improved length control, comparable control of angular and rotational alignment and considerably shortened hospital stay. The technique should only be used by experienced, careful orthopedists in individually selected cases.

Casts, Surgical↗
PubMed1984

Therapeutic traction: a review of neurological principles and clinical applications.

A brief review of traction and its application as a therapeutic tool is outlined. The preliminary results obtained indicate that traction, as used in this study, along with isokinetic exercises and chiropractic manipulation, have a very positive effect on tension headaches originating from the posterior muscles in conjunction with pathomechanics of the cervical spine. A brief but pertinent review of the literature dealing with the anatomy and physiology of the muscle spindle, the muscles, the joints, the neural connections in the spinal cord and the central nervous system is presented, to provide the basic principles of the possible mechanisms underlying the therapeutic result obtained. This framework also provides the basis of a second paper, which will explore the neural control mechanisms that are intrinsic in the control of the head, eyes and cervical spine movement, with the view of utilizing these to facilitate manipulation of this region.

Adult↗
PubMed1984

Wagner apparatus: a portable traction device for the femur.

The Wagner device has proved to be an extremely useful tool for controlling difficult femoral fractures. The fracture and soft tissue injury can be adequately controlled and the patient mobilized by use of the traveling traction principle. This apparatus is easily applied, and the fracture length and alignment can be readily maintained. The device has proven useful in permitting wound care and control. In the complicated polytraumatized patient it facilitates improved pulmonary care and patient hygiene. The advantage the Wagner device affords over conventional traction devices and other external fixation units makes its use a viable orthopaedic alternative.

Adolescent↗
PubMed1984

Congenital dislocation of the hip in children. Comparison of the effects of femoral shortening and of skeletal traction in treatment.

Preoperative skeletal traction as an aid in reduction of congenital hip dislocation in the older child has been associated with an unacceptably high incidence of avascular necrosis, redislocation, and poor results. In contrast, femoral shortening as an aid in reduction has yielded a high rate of very satisfactory results, and may be essential for obtaining a stable, physiological, non-compressive reduction. We have analyzed the complications and the radiographic and functional outcomes of treatment in thirty-nine hips. It was clearly demonstrated that femoral diaphyseal shortening was preferable to traction as an aid in the operative reduction of a congenitally dislocated hip in children who were more than three years old.

Child↗
PubMed1983

Facilitation of the isometric maximum voluntary contraction with traction. A test of PNF predictions.

Mean rectified electromyographic activity in vastus lateralis (VL) was recorded with surface electrodes during several Ss isometric maximum voluntary contractions performed in the PNF pattern of flexion-abduction-internal rotation, with the subject supine. The effects of longitudinally applied traction forces were compared in a within subject design employing latin square and counterbalanced presentation. Consistent with predictions, as traction force increased the group mean EMG showed a statistically significant increase. A brief survey using force platform measurements indicated that trained physical therapists tended to apply equal or greater forces than the 20 lb maximum used in the experiment.

Adolescent↗
PubMed1978

The hazards of tibial pin replacement in 90--90 skeletal traction.

Tibial pin placement and 90--90 traction may lead to serious knee difficulties. Not only proximal tibial epiphyseal insult, but also serious displacement of the tibia on the femur may occur. In light of these potential complications, distal femoral pin placement should always be preferable for 90--90 traction in treatment of fractured femurs in children.

Adolescent↗
PubMed1982

[Comminuted fractures of the lower end of the radius. Treatment by traction-suspension].

Treatment of comminuted fractures of the distal radius bone by the traction-suspension technique is both simple and innocuous. The authors describe this old and satisfactory technique, slightly modified: a transmetacarpal pin is introduced and suspended to a giving set stand, and a counter-traction of 3 to 4 kg is exerted by means of a transulnar pin. After remodelling of the bone under general anaesthesia and radiographic control, the pins are sunk in plaster to be removed 6 to 8 weeks later. Excellent, often unexpected clinical and radiological results can be obtained, and complex traumatic problems can be solved by this technique which can be performed by non-orthopedic surgeons, even with little experience.

Anesthesia, General↗
PubMed1980

[Anatomical and functional characteristics of nerve degeneration and regeneration in traction injuries].

Morphological and functional changes in the nerve after its single extension by 30% of the initial length have been studied in 50 rabbits and dogs by means of neurophysiological and neurohistological techniques for 10 days--6 months. It has been stated that traction lesions result in early trophic disorders, in stable changes of the nerve conductivity and excitation demonstrated in electromyograms from the innervated muscles. The greatest changes (fascicular and axonal breaks) are observed in the zone of trauma. Considerable retrograde changes are observed in the nerve and in corresponding segments of the spinal cord, as well as delayed resorption of the disintegration products of the axial cylinders and myelin membranes both in proximal and peripheral parts of the nerve. After traction lesions, neural fibres restore unevenly, "mosaic" regeneration is observed. Functional and structural-morphological changes in the nerve trunk distinctly correlate with each other, therefore it is possible to prognosticate the degree of the lesions in question.

Animals↗
PubMed1993

[Early and long-term results of sternocostal elevation combined with bridge external traction for funnel chest in children].

The purpose of the present study is to evaluate the effects of addition of a bridge external traction to our conventional sternocostal elevation technique in the surgical management of funnel chest in children. During the period from 1970 to 1979, a total of 29 children with funnel chest were treated surgically using sternocostal elevation technique (Group I). Operative technique consisted of total subperichondral resection of deformed costal cartilages (usually 3rd to 8th, bilaterally), transection of deformed portion of the sternum in 2-3 points and fixation of the sternum in elevated position using 2 Kirschner wires, and shortening resuturing of the opened perichondrium. Since 1980, an addition of the bridge external traction to our conventional sternocostal elevation technique was applied for about 10 days after operation in 82 consecutive children (Group II). The vertebral index (B/A = sagittal diameter of vertebral body/minimum sternovertebral distance), D/C ratio (maximum sagittal depth of depression of sternum/distance from anterior surface of the vertebral body to the sternum at Louis's angle) and E/C ratio (E = minimal sagittal distance from anterior surface of the vertebral body to the sternum) were measured in all cases and compared before and after operation and also between the two Groups. Preoperatively, there was no significant difference in all 3 indices between the two Groups. Postoperative B/A, D/C and E/C ratio in Group I were 0.28 +/- 0.06, 0.14 +/- 0.19, 1.09 +/- 0.32 (mean +/- SD), respectively. There were a significant drop in D/C ratio and a significant elevation in E/C ratio after operation.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1977

Congenital dislocation of the hip. The relationship of premanipulation traction and age to avascular necrosis of the femoral head.

A retrospective study involving 276 patients with 319 congenitally dislocated hips was undertaken to assess whether premanipulation fraction prevents avascular necrosis. Roentgenographic criteria were utilized and only cases of frank dislocation unassociated with other disorders were included. It was found that in a child less than one year old, premanipulation traction of twenty-one days or more substantially reduces the incidence of avascular necrosis. For the child more than a year old, however, the prognosis is not as good, even if premanipulation traction is prescribed for twenty-one days or more. We found a 14 per cent incidence of avascular necrosis in children less than three months old and suggest that the cartilaginous femoral head prior to the appearance of the ossific nucleus is particularly vulnerable to vascular injury.

Age Factors↗