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 793 records · Page 44Linked to original sources
PubMed1983

Skull traction and its complications.

The complications of skull traction seen in a Spinal Injuries Unit over a 7-year period are reviewed. The application of skull calipers, generally thought to be a minor procedure in the initial treatment of cervical spine injuries, led to complications in 37.3 per cent of patients. The complication rate was lowest using the Cone caliper, which when inserted as described, had a complication rate of 6.25 per cent. Attention to detail in the application of skull calipers is essential, and the procedure must not be considered trivial. The Cone caliper is recommended for the initial treatment of traumatic tetraplegia.

Adolescent↗
PubMed1990

Management of unreduced traumatic posterior dislocation of the hip: heavy traction and abduction method.

Eight cases of unreduced traumatic posterior dislocation of the hip were treated by heavy traction and abduction. In four out of eight cases a concentric reduction was obtained. In two patients where a concentric reduction was not obtained, open reduction was performed. In these patients, there was an excellent or good result. In the remaining two patients a non-concentric reduction was accepted, and they had poor clinical results.

Adult↗
PubMed1993

Hip dislocation without fracture: traction or mobilization after reduction?

In all, 41 patients with traumatic dislocation of the hip, without associated acetabular or femoral fracture, were treated by two different methods after closed reduction, performed on average 2 h after injury. Patients in group A (N = 20) were subjected to skeletal traction for 2 weeks, followed by non-weight bearing for 3 months. Those in group B (N = 21) were mobilized a few days (average 9 days) after injury and allowed partial weight bearing. They were fully weight bearing at 3 months. The 31 patients were followed up for an average of 7.6 years and showed comparable long-term results in both groups. No early complications occurred in group B. There were no cases of avascular necrosis in either group. There were three cases of post-traumatic arthritis in group A and one in group B, and two cases each of heterotopic ossification. Early mobilization was concluded to be a safe and more comfortable method of after-treatment. Earlier return to work was a significant benefit in Group B.

Adolescent↗
PubMed1989

Dynamic traction after extensor tendon repair in zones 6, 7, and 8: a retrospective study.

Review of the notes of 46 extensor tendon repairs in 21 patients treated by post-operative dynamic traction without an M.P. flexion block, no tendon ruptures or extensor lag and only one digit without full flexion after a mean follow-up of seven weeks. Re-examination of 26 treated repairs in nine patients for this study demonstrated a mean T.A.M. of 259 degrees at an average 14 months follow-up. No bow-stringing occurred because the extensor retinaculum was not excised, and no tenolyses were necessary.

Hand Injuries↗
PubMed1994

The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracture-dislocations in the hand.

The authors have developed a new skeletal traction system for comminuted intraarticular fractures and fracture-dislocations in the hand. The system consists of two or three Kirschner wires and rubber bands, and is easy to assemble. It is more compact and comfortable than the banjo splint, and equally effective, and it allows early motion of the affected digits. A description of the technique is followed by the clinical results of seven cases of severe articular injuries in the hand. At the time of follow-up, the average range of the affected PIP joint motion was about 80 degrees. The final active motion of the injured DIP joint ranged from 0 to 40 degrees in flexion and that of the affected thumb (trapezial fracture) was not limited. The average follow-up period was 13.1 months.

Adolescent↗
PubMed2004

The Elastic Internal Traction (EIT): an effective method to reduce the displaced facial fractures.

Open reduction and rigid fixation are commonly used to treat displaced fractures of the facial skeleton. Manual reduction can be performed by means of forceps or transosseus wires to close the bone fragments. In order to reduce facial fractures, we used a technique, called Elastic Internal Traction (EIT), based on the elastic action of rubber bands stretched between screws placed on both sides of the fracture line. We have used EIT in 104 patients suffering from mandibular fractures, and 40 cases of patients with orbito-maxillary complex fractures out of the 707 patients treated for trauma between July 2000 and August 2002 at our hospital. In our opinion, this technique provides an effective reduction and a stable primary fixation of the bone before the final fixation. It also has the advantage that the surgical field is clear of the assistant's hands and surgical instruments that are usually used to lock the reduction. The resulting operative time is shortened, and the plating of the bone is simplified.

Bone Screws↗
PubMed2005

Maxillofacial intraoral distraction osteogenesis followed by elastic traction in cleft maxillary deformity.

We present a case of severe maxillary hypoplasia in a 16 years old cleft patient treated by distraction osteogenesis maxillary advancement. Initial evaluation showed vertical and antero-posterior maxillary deficiencies, and a Class III malocclusion. Two intraoral distractors (Zurich Pediatric Maxillary Distractor, KLS Martin, Tuttlingen, Germany) were placed in a high Le Fort I osteotomy. An initial advancement of 11 mm was obtained, but the resulting occlusion was unsatisfactory (end-to-end occlusion). The consolidation period was reduced to 3 weeks to allow the mechanical manipulation of the newly formed bone with Class III elastics. An additional advancement of 3 mm, caused by elastic orthodontic traction produced both normal skeletal relationship and satisfactory occlusion. This observation shows that it is possible to carry on a skeletal maxillary displacement by interdental elastics before the complete fusion of the callus. After 12 months of postoperative follow-up no osseous relapse could be detected and the occlusal result was stable.

Adolescent↗
PubMed2005

Dermal traction on the Ilizarov frame.

We report a technique of skin traction, which harnesses the biological and mechanical properties of skin. We have used this technique in open fractures to close or reduce the size of the wound, thereby avoiding the use of split skin grafts or free flaps and their resultant additional morbidity. This report summarises our early experience with this technique in seven patients. We describe the technique and the results so far.

Adolescent↗
PubMed2006

In vivo biomechanics of the fingerpad skin under local tangential traction.

Small patches of fingerpad glabrous skin in human subjects were tested in vivo for their biomechanical properties under tangential loading and for large deformations. These conditions included stretching and shearing the skin at a length scale of 0.3mm using an apparatus comprising a pair of piezoelectric benders arranged to increase the stiffness/free deflection tradeoff when compared to ordinary cantilevered benders. It was then possible to test the skin with up to 80% of tangential strain. With feedback control, it was also possible to create isotonic and isometric testing conditions. The results showed much variability across subjects and it was seen that the glabrous skin exhibited nonlinear stiffening in tangential traction. The skin was consistently more elastic across the ridges than along the ridges regardless of the location of the sample on the fingerpad. The skin behaved visco-elastically but relaxed about twice as fast than it crept. Finally, it was found that under large deformation, there was consistently 80% of hysteretic loss for a wide range of loading conditions.

Adult↗
PubMed1999

[Brain abscess following the use of skull traction with Gardner-Wells tongs].

Brain abscess after insertion of skull traction is a rare and serious complication. Its development is secondary to superficial infection. Adequate preventive measures have to be taken: proper sterile dressing and daily care. Signs of local irritation are not always synonymous with skull migration. When gradual loosening of the skull occurs, especially associated with superficial infection, the pins must not be tightened. The more appropriate management is to investigate for penetration of the inner cranial cave. When in doubt, repositioning the pins may be necessary, as well as establishing an aggressive treatment against cutaneous infection.

Adult↗
PubMed1978

Thoracic traction for median sternotomy dehiscence.

Standard management of median sternotomy dehiscence sometimes fails to achieve lasting reduction and fixation of the sternal halves. An effective method of external thoracic traction that augments internal fixation of the sternal fracture is presented.

Humans↗
PubMed2004

A traction jig for reduction of distal radial fractures.

A traction jig is described which facilitates the closed reduction of extra-articular distal radial fractures and which maintains the reduction whilst a plaster cast is applied. The jig is suitable for use by a single operator in an Accident and Emergency department setting.

Adult↗
PubMed1986

A comparison of plating and traction in the treatment of tibial shaft fractures.

A consecutive series of fractures of the tibial shaft was studied over a 4-year period. A total of 115 fractures in 115 patients were found to be unstable and therefore unsuitable for immediate treatment in a plaster cast. Sixty-three fractures were treated by internal fixation using AO dynamic compression plates and 52 patients were treated by calcaneal traction. The two treatment groups were compared and it was found that overall each spent a similar time in hospital but the surgically treated group required a minimum of two admissions. The surgically treated group healed 6 weeks sooner than the conservatively treated group but there was an overall complication rate of 30 per cent related to the internal fixation. One hundred and three patients were seen for clinical review, and the incidence of joint stiffness is discussed.

Fracture Fixation, Internal↗
PubMed1999

Dorsal band traction for reduction of paraphimosis.

Reduction of paraphimosis can be a painful and difficult process. Methods thus far proposed focus on decreasing the edema before reduction. We have used the basic surgical principle of traction and countertraction by applying a pair of Adson forceps directly to the band formed by the retracted preputial opening. To date we have successfully used this technique on 6 children and 3 adults.

Adult↗
PubMed1992

The correlation between controlled range of motion with dynamic traction and results after flexor tendon repair in zone II.

This prospective study investigated the extent to which the range of interphalangeal joint motion during early mobilization with dynamic traction influences the results after flexor tendon repair in zone II. The controlled interphalangeal joint range of motion within the splint was measured 3 weeks postoperatively in 51 digits (48 patients). The active range of motion was measured 4 weeks, 6 weeks, and 1 year postoperatively. Linear regression analysis showed that controlled interphalangeal range of motion had a significant effect on both early and late results. The results provide, for the first time, firm clinical evidence to support the rationale for early mobilization programs designed to maximize controlled interphalangeal joint range of motion.

Adolescent↗