The underlying principles which make for efficiency in the suspension traction treatment of fractures of the long bones are now well understood. Foremost among them is that this form of treatment takes into full consideration the necessity of caring for the damaged soft parts. Full recognition is given to the truth that in many instances muscular, fascial and joint repair are far more important in restoring a properly functioning limb than absolute anatomic restitution of the bone. This form of treatment also accepts the truth of the teaching of LucasChamponnier, that complete fixation of fragments is not necessary for proper callous formation, in fact, may be detrimental to it.
In addition to these, the traction suspension treatment affords the best means of placing the distal fragment in proper alinement with the proximal fragment. In every fracture of a long bone, two elements enter into the resulting deformity. Either a proximal