The dynamic traction method. Combining movement and traction for intra-articular fractures of the phalanges.

Abstract

Dynamic traction is a new method of treatment of intra-articular fractures in the hand, combining the old idea of traction and the recent one of movement. Traction reduces fracture fragments through ligamentotaxis, and helps prevent joint ligament and periarticular contracture. Motion encourages cartilage regeneration and helps maintain mobility. Both early and long-term results have been excellent. The historical development of dynamic traction is detailed, and a summary given of the physiologic basis for the method's success.