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Sept 2, 1968

Tennis-Shoe Traction

Author Affiliations

Abington, Pa

JAMA. 1968;205(10):706. doi:10.1001/jama.1968.03140360066029

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To the Editor:—  Tennis-shoe traction has been used for years by a small number of physicians. However, this method does not appear in the general texts dealing with musculoskeletal disorders and apparently is not general knowledge among most physicians. Therefore it seems appropriate to point up this traction method which has been most useful in certain patients.The usual form of traction for the lower extremity, Buck's extension, is applied by (1) shaving the leg to the knee, (2) painting with tincture of benzoin, (3) applying moleskin, and (4) wrapping with elastic bandage. However, moleskin cannot be removed for purposes of physical therapy to the extremity once or twice a day as is appropriate for certain arthritic patients with flexion contracture of the knees. Also, blistering under moleskin at times necessitates early removal. Denuding of underlying skin when moleskin is removed in elderly patients or in patients on long-term corticosteroid