Secondary Logo

Institutional members access full text with Ovid®

A Novel Traction Frame for Femur Fracture Management in Developing Countries

Technique and Outcomes

Levy, David M., MD; Meadows, Molly C., MD; Gates, Dennis J., MD

Journal of Orthopaedic Trauma: May 2019 - Volume 33 - Issue 5 - p e203–e206
doi: 10.1097/BOT.0000000000001407
Technical Trick

Summary: Fractures of the femur have long been a major cause of morbidity and mortality in developing countries and are most frequently caused by road traffic accidents. Intramedullary nail fixation has become the gold standard of care for diaphyseal fractures of the femur. However, modern techniques require proper implants, access to imaging, and accessible operating room facilities, all of which have limited availability in the developing world. We describe a new technique for assembly of a polyvinyl chloride traction frame for treatment of femur fractures in resource-poor settings. Our report includes a retrospective review of patients treated with polyvinyl chloride traction frames in the Dominican Republic and Haiti.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Reprints: Dennis J. Gates, MD, Rush University Medical Center, 1611 W. Harrison St, Suite 300, Chicago, IL 60612 (e-mail:

The authors report no conflict of interest.

Accepted November 08, 2018

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.