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Journal of Bone and Joint Surgery, 1936;18:397-401.
© 1936 by The Journal of Bone and Joint Surgery, Inc

FRACTURES OF THE FOREARM REDUCED BY DIRECT LEVERAGE

J. E. M. THOMSON M.D., F.A.C.S.

Those who discussed the author's early reports of this method recognized its merit, although they drew attention to the dangers of introducing a foreign body between the fragments,—the possibility of infection, the promotion of delayed union, and the peril of injury to the tender soft-tissue structures.

This review of 377 fractures of the forearm shows that there was a certain definite group of these fractures (forty-six) in which reduction could not be obtained by ordinary methods, and in which rather extensive open operative procedures would usually be indicated. However, these fractures were reduced by the technique of direct leverage, with results equal to those obtained in non-problem fractures in which simple methods of reduction were adequate.


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