A Convenient Dynamic Wire Traction-fixation Method for Hand and Forearm Fractures

Abstract

We report on a convenient intraoperative distraction technique, called the modified Dynamic Wire-framed Traction (mDWT) method, that assists in fracture reduction and/or is used as an external fixator in patients with unstable distal radius fractures and in other hand and forearm fractures. The mDWT device is easily assembled with wires at the time of surgery, and its configuration produces sufficient longitudinal distraction force that makes reduction easier and facilitates additional fixation procedures. Furthermore, the device can be converted into a simple unilateral external fixator that can be retained postoperatively. Our experience with 13 patients shows that the mDWT method is easy to apply and is a cost-effective technique when used as an intraoperative distraction device or as an external fixator.

Results of an Adjustable Traction Method Using Surgical Gloves and K-Wires for the Treatment of Proximal Interphalangeal Joint Fracture Dislocation

“…Kobayashi has applied this method to two patients with dorsal fracture dislocation of the distal interphalangeal joint; 11 they initiated early ROM exercises and obtained satisfactory results. Although these are not dynamic devices, Kimura et al 12 modified this method and applied it to fractures of the distal radius, distal ulna, and diaphyses of the radius and ulna.…”