Seventy-eight supracondylar fractures of the humerus in children were reviewed to compare four kinds of treatment: closed reduction and immobilization in a cast or splint, overhead skeletal traction, side-arm skeletal traction, and Dunlop's skin traction. The skeletal traction device usually used was a winged screw of our own design. The arms treated in overhead traction had significantly less ...

We report here a case of severe tetanus, complicating a compound fracture of the femur, successfully managed without intensive care facilities, using intravenous sedation and intrathecal Human Tetanus Immunoglobulin (HTI). Substitution of conventional traction (Transtibial Steinman Pin and Thomas Splint) for a Day Frame External Fixation Device (EFD) provided excellent fixation and stability of...

Thp American/ournal o/Occupa/iollal Tberapy j oint stiffness and soft tissue contractu res of the fingers are common problems treated by the occupational therapist specializing in hand therapy. It is Widely accepted that dynamic splinting in combination with range-of-motion exercises is the most effective way of managing these problems. The rationale, prinCiples, and objectives of dynamic splin...

A review was conducted of the records of fifty-five children who were admitted to the Hospital for Sick Children in Toronto between 1955 and 1975 with a diagnosis of Volkmann's contracture in fifty-eight limbs. Ten patients had been transferred to this hospital with established ischaemia after Bryant's traction for a fractured femur; all had a very poor outcome. Thirteen other cases of Volkmann...

Management of severe traction lesions of the brachial plexus-Dr I. Fletcher (Roehampton) said that in six years he had seen 120 patients with traction injuries of the brachial plexus at Roehampton. In only eighteen was there any functional use in the hand. It was important to have a prognosis as soon as possible so that treatment could be decided. This was done by the clinical methods described...