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At least 847 records · Page 47Linked to original sources
PubMed1980

The cervical spine after halo-pelvic traction. An analysis of the complications of 83 patients.

This retrospective study assesses the complications affecting the cervical spine after halo-pelvic traction in 83 patients who were followed up for a minimum of five years. Forty-four patients (53 per cent) had significant cervical complications such as radiological degenerative changes, avascular necrosis of the dens, loss of movement, pain or spontaneous fusion. The most important predisposing factors were a long period in the halo-pelvic apparatus, tuberculous kyphosis, stiffness of the spinal deformity and an age of 15 years or more at the time of application.

Adolescent↗
PubMed1983

Domiciliary gallows traction for femoral shaft fractures in young children. Feasibility, safety and advantages.

Over 15 years (1967 to 1982) 140 uncomplicated femoral shaft fractures in children under four years of age were successfully treated using Bryant's traction. Forty of these children were treated after the introduction of the domiciliary management policy in 1976; 13 children were managed at hospital and 27 were managed at home. No significant complications occurred. The advantages to the family, and the safety and economy of domiciliary management lead us to recommend its adoption in favourable cases. Treatment at home relies on an efficient and experienced home nursing service. Possible complications of the injury and treatment with recommendations to prevent them are discussed.

Age Factors↗
PubMed1993

Nerve grafting for traction injuries of the common peroneal nerve. A report of 17 cases.

We report 17 patients who had grafting of the common peroneal nerve after traction injuries. Sixteen were reviewed at a median follow-up of 36 months. The nerve gap ranged from 7 to 20 cm. A functionally satisfactory result was achieved in six patients (37.5%), a fair result in six and a poor result in four. Seven patients had, in addition, a posterior tibialis tendon transfer; this improved the result in five. Grafting produced some satisfactory results even when the nerve gap was as long as 20 cm.

Adolescent↗
PubMed2001

Pseudo-Class III treatment with reverse traction: case report.

The pseudo-Class III can be defined as a functional reflex of an anterior positioning of the mandible, an acquired muscular position that simulates a mesiocclusion. The diagnosis and treatment plan of this condition must be based on a cephalometric evaluation that provides information about the relative contributions of the skeletal and dental components to the malocclusion. There is still great controversies about when is the best moment to start the Class III treatment. The purpose of this article is to describe a case report in which a Class III patient was successfully treated with reverse traction.

Cephalometry↗
PubMed1995

Spinal cord intramedullary pressure: direct cord traction test.

Spinal cord intramedullary pressure was measured in eight mongrel dogs using a balloon method. The neck of the animals was maintained in the neutral position. Following cervical laminectomy, the cervical spinal cord was drawn dorsally using a small plastic saddle inserted ventral to the spinal cord at the C-5 level. The cord pressure at C-5 increased with traction load. The cord pressure at C-6 not in direct contact with the plastic saddle also increased to about one third the increase at C-5. These findings indicate that spinal cord intramedullary pressure is increased by mechanical compression on the anterior structure of the spinal canal and stretching of the cord to some extent. This phenomenon might be important in cord insult in patients with spinal column lesions located anterior to the spinal cord and presenting with neurological signs extending over several segments.

Animals↗
PubMed1977

Superior mesenteric artery syndrome complicating treatment with balanced traction. A case report.

A brief review of the superior mesenteric artery syndrome is given. A case is reported which occurred after 9 weeks of treatment of a fractured femur by continuous traction with balanced suspension. The condition was successfully treated by conservative measures including a plaster hip spica allowing frequent changes of position. The importance of early diagnosis and prompt treatment is emphasized.

Adolescent↗
PubMed1982

Non-sliding pins in traction absorbing wiring of fractures: a modified technique.

By using a newly constructed pin instead of Kirschner wires in the traction absorbing wire (TAW) technique, the clinically observed sliding of the Kirschner wires and resulting skin problems are avoided. The pins and the internal fixation technique are described. In order to demonstrate the simplicity and reliability of the technique a follow-up study 7 years after performed surgery is presented. The late results are given of a series comprising the authors' first 10 consecutive cases of closed transverse olecranon fractures treated by this new technique of internal fixation.

Adult↗
PubMed1976

Complications of halo-pelvic traction. Case report.

When halo-pelvic traction is applied at a rapid rate it may induce cranial nerve palsies. The sixth, ninth, and tenth cranial nerves appear to be the most vulnerable. A proposed etiology is the stretching of these nerves resulting in a compromised blood supply with a consequent temporary paralysis which usually improves within 8 to 10 weeks.

Child↗
PubMed2003

Sudden progression of lumbar disk protrusion during vertebral axial decompression traction therapy.

Vertebral axial decompression (VAX-D) is a form of spinal traction that is widely promoted as an effective and safe treatment of degenerated and herniated lumbar intervertebral disks. Information targeted at the general public emphasizes that the treatment is completely risk-free. We describe a patient with a large lumbar disk protrusion who experienced sudden, severe exacerbation of radicular pain during a VAX-D therapy session. Follow-up magnetic resonance imaging of the lumbar region showed marked enlargement of the disk protrusion, and urgent microdiskectomy was required. To our knowledge, this is the first reported complication of VAX-D therapy. This case shows that VAX-D therapy has the potential to cause sudden deterioration requiring urgent surgical intervention.

Diskectomy↗
PubMed1987

A dynamic traction splint for the management of extrinsic tendon tightness.

The dynamic traction splint designed by therapists at Walter Reed Army Medical Center is used for the management of extrinsic extensor tendon tightness commonly seen in brachial plexus injuries and traumatic soft tissue injuries of the upper extremity. The two components of the splint allow for simultaneous maximum flexion of the MCP and IP joints. This simple and economical splint provides an additional modality to any occupational therapy service involved in the management of upper extremity disorders.

Finger Joint↗
PubMed2000

[Chronic low back pain: exercise therapy, multidisciplinary programs, NSAID's, back schools and behavioral therapy effective; traction not effective; results of systematic reviews].

OBJECTIVE: To inventory the current state of the art regarding the effectiveness of conservative treatment of chronic low back pain. DESIGN: Systematic reviews. METHOD: The relevant literature from the period January 1966-September 1999 was retrieved via Medline, Embase, PsychLit and the Cochrane Library and via reference lists in the articles found. The methodological quality of the studies was assessed using criteria for internal validity. On the basis of the number of examinations, their quality and the consistency of the findings, conclusions were subdivided into four levels of strength of scientific evidence. RESULTS: There was strong evidence that exercise therapy and multidisciplinary treatment programmes were effective in chronic low back pain, and moderate evidence that non-steroidal anti-inflammatory drugs (NSAIDs), back schools and behavioural therapy were effective in chronic low back pain. There was also strong evidence that traction was not effective in chronic low back pain. Strong evidence for effectiveness of many other commonly used interventions was lacking.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed2001

A model for internal derangement and osteoarthritis of the temporomandibular joint with experimental traction of the mandibular ramus in rabbit.

OBJECTIVES: The purpose of this study is to make a model of internal derangement (ID) and osteoarthritis (OA) by postero-superior displacement of the mandible in the rabbit temporomandibular joint (TMJ). MATERIALS AND METHODS: Sixteen Japanese white rabbits (8 months old) were subjected to traction of the mandibular ramus in the postero-superior direction unilaterally using elastic force and five rabbits were used as the control. The operations were performed without surgical invasion of the TMJ capsule. Temporomandibular joint tissue was removed after 4 weeks and Technovit and paraffin sections with or without decalcification were observed histologically. RESULTS: In contrast to the control group, it showed anterior disc displacement, disc deformity, resorption of subchondral bone and osteophyte formation in the drawing side of the experimental group. Intra-articular fibrous adhesions were observed in both sides. CONCLUSION: It is concluded that posterosuperior displacement of the mandible caused ID and OA in the rabbit TMJ. This model may contribute to the understanding of the etiology of human temporomadibular disorders (TMD).

Animals↗
PubMedDate not supplied

[Halo-traction efficacy in surgery on the cervical spine].

The paper deals with the use of a halo-apparatus in lesions and diseases of the cervical vertebra. The halo-apparatus was used in 70 patients. It was most commonly employed in lesions of the upper cervical vertebra, such as fractures of the odontoid process and C2 vertebral arches. Analyzing the clinical findings showed halo-traction to be highly effective.

Adolescent↗
PubMed2002

Lower extremity traction pins: indications, technique, and complications.

The placement of pins in the lower extremity for the purpose of skeletal traction is a basic skill required by an orthopedic surgeon. These pins are primarily used for the management of fractures and dislocations. Although simple, the insertion and care of these pins can be accompanied by severe complications including damage to neurovascular structures, physeal injury, ligamentous insult, fracture, and infection. We review the techniques of pin insertion at the distal femur, proximal tibia, and calcaneus to provide a foundation for residents and attendings alike so that unnecessary complications may be avoided and proper placement ensured.

Bone Nails↗
PubMed1992

[Adjustable thoracic-lumbar vertebrae fixation and traction brace: development and clinical usage].

We developed an adjustable traction and fixation brace for thoracolumbar vertebrae, which is made from heat-sensitive plastics and consisted of four pieces of oppositely directed bolts serving as the elevation dropping system. The brace has strong anti-bending strength and draught force. With which, every direction of movement of the spinal column can be restrained effectively and the vertical pressure on the diseased vertebrae can be eased. The biomechanical effect of this brace is in accordance with the demand of spinal cord biomechanics. It can be used at 1-2 weeks after injury. It can be used in patients with thoracic-lumbar fracture, tumour and tuberculosis after operation. The efficacy rate of 98% was achieved in 102 patients. 31 patients with injured thoracic-lumbar vertebrae could walk and squat down without any pain and complication, and the deformity was corrected or alleviated.

Adult↗
PubMed1992

[Brain abscess following skull traction].

A case of brain abscess developing after skull traction for fracture of the dens is presented. The abscess was most likely caused by retrograde septic thrombophlebitis via the superficial cortical veins. The abscess was drained and treatment with antibiotics was according to sensitivity on culture. 3 months after surgery there was mild residual paresis of the left hand. The need for close follow-up of patients prone to this complication is emphasized.

Adult↗
PubMed1992

Pudendal nerve palsy following fracture table traction.

In separate retrospective and prospective studies at the same Level 1 trauma center, pudendal nerve palsy complicating fracture table cases was analyzed. Incidence was established and pertinent variables categorized and compared. From January 1986 through October 1988, four of 216 fracture table patients (1.9%) were diagnosed with a postoperative pudendal nerve palsy. A subsequent three-month prospective study, ensuring use of preventive measures and incorporating active postoperative screening, resulted in only one of 36 patients (2.8%) developing this complication after fracture table traction. Symptoms associated with this palsy, including genitoperineal hypoesthesia, erectile dysfunction, or both, occurred within the first two postoperative days and resolved spontaneously by six months. No association of variables had any statistical significance. The pathoanatomy of this complication and preventive guidelines are reviewed.

Adolescent↗
PubMedDate not supplied

[Portable device for ribs traction].

Described in the paper is a portable device designed by the author for the traction of ribs in the complex treatment of multiple rib fractures. It is autonomous and easy in use. The devise does not damage the skin and tissues.

Equipment Design↗