Highlights
- •Traction orthoses offer conservative management of phalangeal fractures.
- •Novel design of a traction orthosis should be dynamic, low profile, and noninvasive.
- •The design enables ease in exercises such as isolated flexor digitorum profundus glides.
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References
- Treatment of articular fractures by ligamentotaxis with external fixation.in: Brooker A.F. Edwards C.C. External Fixation - the Current State of the Art. Williams & Wilkins, Baltimore, MD1979: 75
- The dynamic traction method: combing movement and traction for intra-articular fractures of the phalanges.Hand Clin. 1994; 10: 187-198
- Dynamic traction and early passive movement for fractures of the proximal interphalangeal joint.J Hand Surg. 1986; 11A: 850-858
- The conservative management of fractures of the shafts of the phalanges of the fingers by combined traction-splintage.J Hand Surg. 1984; 9: 303-306
- Management of proximal interphalangeal joint fractures using a new dynamic traction splint and early active movement.J Hand Ther. 1992; 1: 16-24
- James traction splinting for PIP fractures.J Hand Ther. 2008; 21: 209-215
- Traction splints: effective non-surgical way of managing proximal phalanx fractures.J Trauma Inj Infect Crit Care. 2009; 66: 1641-1646
- Management of proximal phalangeal fractures of the hand using finger nail traction and a digital splint: a prospective study of 43 cases.Clin Orthop Surg. 2012; 4: 156-162
- Hand-based swing traction splinting for intra-articular proximal interphalageal joint fractures.Hand Ther. 2013; 18: 42-56
- Early active vector adjustable skin traction (EAVAST) for phalangeal fractures.Hand. 2016; 11: 615
- Benefits of using the Poole finger traction splint (online).(Available at:)
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- The Hand Arc - a hand-based splint design for intraarticular fractures.J Hand Ther. 2010; 1: 73-76
- Modified pizza pan splint for unstable intra-articular fractures of the PIP joint.J Hand Ther. 1991; 4: 188
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JHT Read for Credit
Quiz: # 727
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.The mechanism used to reduce the Fx is
- a.compression
- b.ligamentotaxis
- c.manipulation
- d.ORIF
- a.
- # 2.A primary advantage of the described orthotic approach to management is
- a.preservation of FDP function
- b.pulley protection
- c.edema control
- d.early mobilization
- a.
- # 3.The punch hole is proximal to the
- a.wrist crease
- b.MP
- c.PIP
- d.DIP
- a.
- # 4.The actual traction is applied through the
- a.fingernail
- b.rigid Leukotape
- c.thermoplastic digital sleeve
- d.K-wire
- a.
- # 5.The curved tube is designed to deliver continuous traction throughout the range
- a.true
- b.false
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: March 09, 2020
Accepted:
August 9,
2019
Received:
June 8,
2019
Identification
Copyright
© 2019 Published by Elsevier Inc. on behalf of Hanley & Belfus, an imprint of Elsevier Inc.
