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A TRACTION DEVICE FOR FRACTURES OF THE FOREARM

Walter A. Wichern, M.D.; Robert H. Bacon, M.D.
JAMA. 1951;146(13):1233-1235. doi:10.1001/jama.1951.63670130013012h.
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Fracture of the lower radius and ulna of the Colles type is the predominant fracture encountered in the emergency service of any hospital. Many cases are complicated by pronounced comminution, displacement or both, so that traction becomes an important factor in reduction. Formerly, traction was applied by an assistant holding the brachium and another holding the hand. Such traction, in many instances, has proved inefficient. It is variable and necessarily of short duration, because the assistants become fatigued. Consequently, manipulation of the fractured elements becomes necessary, and increased trauma results. That efficient and adequate traction is the most important factor in the reduction of fractures has been appreciated for many years. This was particularly emphasized by Böhler.1 It has been our purpose to provide mechanically a constant, fixed traction for the reduction of fractures of the forearm. This has been accomplished by a modification of an apparatus reported by

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