TY  - JOUR
T1  - THumb traction technic for reduction of colles' fracture
AU  - CAROTHERS RG, BOYD FJ
Y1  - 1949/06/01
N1  - 10.1001/archsurg.1949.01240030859011
JO  - Archives of Surgery
SP  - 848
EP  - 852
VL  - 58
IS  - 6
N2  - 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
SN  - 0272-5533
M3  - doi: 10.1001/archsurg.1949.01240030859011
UR  - http://dx.doi.org/10.1001/archsurg.1949.01240030859011
ER  -