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Journal of Hand Surgery (British and European Volume)
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Articles

The Pins and Rubbers Traction System for Treatment of Comminuted Intraarticular Fractures and Fracture-Dislocations in the Hand

Y. SUZUKI
T. MATSUNAGA
S. SATO
T. YOKOI

From the Departments of Orthopaedic Surgery, Gifu Prefectural Gifu Hospital, and Gifu University School of Medicine, Gifu City, Japan

Correspondence: Yasushi Suzuki, MD, Department of Orthopaedic Surgery, Gifu Prefectural Gifu Hospital, 4-6-1, Noishiki, Gifu-shi, Gifu 500 Japan.

The authors have developed a new skeletal traction system for comminuted intraarticular fractures and fracture-dislocations in the hand. The system consists of two or three Kirschner wires and rubber bands, and is easy to assemble. It is more compact and comfortable than the banjo splint, and equally effective, and it allows early motion of the affected digits.

A description of the technique is followed by the clinical results of seven cases of severe articular injuries in the hand. At the time of follow-up, the average range of the affected PIP joint motion was about 80° The final active motion of the injured DIP joint ranged from 0 to 40° in flexion and that of the affected thumb (trapezia1 fracture) was not limited. The average follow-up period was 13.1 months.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 1, 98-107 (1994)
DOI: 10.1016/0266-7681(94)90059-0
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