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ARTICLE |

THUMB TRACTION TECHNIC FOR REDUCTION OF COLLES' FRACTURE

RALPH G. CAROTHERS, M.D.; FOSTER J. BOYD, M.D.
Arch Surg. 1949;58(6):848-852. doi:10.1001/archsurg.1949.01240030859011.
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UP UNTIL the late 1920's the principles of treatment of Colles' fracture centered about forceful manual manipulation followed by immobilization in volar flexion and ulnar deviation with a padded plaster cast. Longitudinal traction, though recognized as of varying importance, played a comparatively minor role in the reduction. With the advent of Böhler's technic in 1929,1 involving strong longitudinal traction of thumb and fingers against the fixed and flexed upper arm, came a marked change in the principles of treatment. By this method, hyperextension to break up impaction was eliminated and manual molding could be reduced to a minimum. We feel that strong traction in the longitudinal axis of the radius is an adequate means of overcoming radial impaction and dorsal displacement, though a certain amount of molding may be necessary to complete the reduction. By the use of the unpadded plaster cast, extreme volar flexion and ulnar deviation are

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