[Skip to Content]
[Skip to Content Landing]
Article
June 1949

THUMB TRACTION TECHNIC FOR REDUCTION OF COLLES' FRACTURE

Author Affiliations

CINCINNATI; INDIANAPOLIS

Arch Surg. 1949;58(6):848-852. doi:10.1001/archsurg.1949.01240030859011
Abstract

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

First Page Preview View Large
First page PDF preview
First page PDF preview
×