Screw Adjustment for Fixed Traction with Thomas Splint

a Thomas splint. As the Thomas splint acts as an exoskeleton the traction from the leg must, therefore, be fastened to the splint. The right degree of tension imust be used to prevent overlapping of the ends and shortening of the limb, yet not produce distraction with the risk of either slow or non-union. The conventional method of tying the tapes T0P from the skin tractioni to the end of the splint ___ V'¢/'>\'' |and then tightening with a "Spanish windlass" is r----'' rather crude and not very effective, particularly ~~~~7F if, as is common, the Thomas splint is only 4"-6" longer than the limb. We, therefore, decided to try to improve traction control and the screw