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• W2116364161 abstract "The most common complications attendant upon wire traction are infection, cutting through, and nerve lesions. Attachment at the tibial tuberosity for skeletal traction of femoral shaft fractures is considered to be adequate by most surgeons. Bohler (1957) said: “The use of the pin or wire-and particularly of the clamp -above the knee joint may lead to severe complications. Empyema of the knee joint, infection of the hematoma in fractures close to the knee joint followed by osteomyelitis, ankylosis of the knee joint, amputation and death have been observed.” Biebl‘s series (1936) comprised 255 patients treated with wire traction for different fractures. The calcaneus, the distal part of the femur, and the tibial tuberosity were the sites of application in 106, 46, and 23 cases, respectively. In 2 osteitis supervened. One of the fractures had been treated with traction through the calcaneus and the other through the distal part of the femur. No nerve lesion was noted. In Sehildt’s investigation (1946), in which wire traction was applied 540 times for different fractures, the site of application was the distal part of the femur in 214 cases and the tibial tuberosity in 103. Altogether 52 wire traction complications were recorded ; 30 cases of infection without cutting through of the wire, 18 of cutting through with or without infection, and 4 of nerve lesion. All severe complications occurred in the cases in which supracondylar traction had been employFd. Aronsson (1950) noted infection in 15 per cent of 129 patients with intertrochanteric or pertrochanteric fractures of the femur treated with wire traction. Osteomyelitis was the immediate cause of death in 1 case. The traction had been applied through the distal part of the femur. In the opinion of Watson-Jones (1955), the wire should not be ap" @default.
• W2116364161 created "2016-06-24" @default.
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• W2116364161 date "1965-01-01" @default.
• W2116364161 modified "2023-10-18" @default.
• W2116364161 title "Wire Traction Complications Associated with Treatment of Femoral Shaft Fractures" @default.
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• W2116364161 doi "https://doi.org/10.3109/17453676508989349" @default.
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