Brüser P, Meyer-Clement M, Eren S
Aktuelle Traumatol. 1983 Oct;13(5):181-5.
In treatment of old traumatic dislocations and fracture dislocations of the carpal bone complex, a careful and exactly dosed pre-extension of the shrunken capsular ligaments can be obtained by the use of Wagner's distraction apparatus. The pre-extension procedure is followed by open or closed reposition. The surgeon's movements are not hindered. Sterile draping of the operating field can easily be performed in contrast to other methods of reposition like hanging up the forearm with a counter-weight or olecranon-metacarpal extension with counter-traction. Up to 10 months after volar dislocation of the lunate bone the destructed carpal vault could be reconstructed.
在治疗腕骨复合体的陈旧性创伤性脱位和骨折脱位时,使用瓦格纳牵引装置可谨慎且精确地对挛缩的关节囊韧带进行预牵引。预牵引后进行切开复位或闭合复位。不会妨碍外科医生的操作。与其他复位方法(如用配重悬挂前臂或用对抗牵引进行鹰嘴 - 掌骨伸展)相比,手术区域的无菌铺巾很容易进行。月骨掌侧脱位后长达10个月,可重建破坏的腕骨穹顶。