PINLESS CALCANEUS TRACTION - A PRELIMINARY-REPORT

Calcaneus traction with a Steinmann-pin or K-wire inserted into the do rsal aspect of the calcaneus is a common temporary procedure in fractu res of the lower leg when internal fixation has to be delayed. Infecti on due to this simple manoeuvre is rare, but is a very serious complic ation. In 1991, a so-called pinless external fixator was introduced in clinical trials, based on the idea of external fixation without trans osseus pins, thus preserving local blood supply and lowering the risk of pin track infection. This pinless clamp also represents a handy too l for calcaneus traction. We have used this pinless clamp for calcaneu s traction in 39 patients without any major problems or complications. Of these, 29 patients were scheduled for delayed internal fixation, a nd in 10 patients this clamp was used intraoperatively in closed tibia l nailing for traction on the fracture table. Tips and tricks for the use of this pinless clamp, and its advantages and disadvantages are di scussed.