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Article
February 1947

USE OF SMALL THREADED WIRES IN THE TREATMENT OF FRACTURESII. Fractures of the Upper Extremities

Author Affiliations

ST. LOUIS
From the Shriners' Hospital for Crippled Children and the Department of Surgery Washington University School of Medicine.

Arch Surg. 1947;54(2):154-169. doi:10.1001/archsurg.1947.01230070159004
Abstract

IN A PREVIOUS presentation1 a general discussion of the development and use of the small threaded wire in the treatment of fractures was given. A repetition of that discussion does not seem necessary at this time. Although these wires were used originally in the lower extremities, their use was soon attempted in various fractures of the upper extremities, and here too they were found to be ideal in certain types. The fractures in which open reduction and internal fixation are sometimes necessary or preferable and in which the use of the small threaded wire has proved satisfactory are as follows:

1. They are used for fractures of the clavicle. In children a fracture of the clavicle seldom if ever requires open reduction. In adults, too. open reduction is seldom indicated, but an occasional case is encountered in which adequate approximation as seen in anteroposterior and oblique views is impossible.

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