title: Elastic Bandage Traction Technique for Reduction of Distal Tibial Fractures.
abstract: In the present technique report, we describe a useful noninvasive traction technique that uses a 6-inch elastic bandage that can be obtained in every operating room and can be easily applied around the patient's ankle and the surgeon's waist to offer a stable traction force during minimally invasive plate fixation of distal tibial fractures. This technique frees the surgeon's hands to focus on applying other forces, such as rotational, varus, or valgus forces, to reduce the fracture and stabilize the reduction and alignment during percutaneous insertion and fixation of the plate. This technique, although simplistic and old-fashioned, is also useful for the closed reduction of distal tibial physeal injuries in children, because it can provide a significant amount of traction force while allowing the surgeon to apply other forces for fracture reduction. This technique can be used in the emergency room, where an ankle distractor is not usually present, and in some cases could be useful during ankle arthroscopy.
authors.affiliation: Department of Orthopaedic Surgery, The Second Hospital, Jilin University, Changchun, China.
authors.forename: Quanyu
authors.initials: Q
authors.lastname: Dong
authors.affiliation: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
authors.forename: Do Yeong
authors.initials: DY
authors.lastname: Hong
authors.affiliation: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
authors.forename: Yong Wook
authors.initials: YW
authors.lastname: Park
authors.affiliation: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea. Electronic address: hyongnyun@naver.com.
authors.forename: Hyong Nyun
authors.initials: HN
authors.lastname: Kim
mesh_terms: D064386:Ankle Fractures / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods; D003131:Combined Modality Therapy; D058128:Compression Bandages; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014143:Traction / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome
keywords: ankle traction; minimally invasive plate osteosynthesis; pediatric physeal injury