Traction increases compartment pressure during intramedullary nailing of the tibia .
The effect of traction on compartment pressures during intramedullary nailing of tibial-shaft fractures. A prospective randomised trial
Int Orthop. 2005 Jun;29(3):186-90. Epub 2005 Apr 7Thirty patients with Tscherne C1 fractures were randomized to receive intramedullary nailing of the tibia with or without traction. At the end of the procedure, there was an increase in compartment pressure in both groups. However, the increase in pressure was significantly higher in the traction group than in the non-traction group for all 4 compartments. None of the pressures reached the critical level requiring intervention.
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