{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:40:20Z","timestamp":1755225620628,"version":"3.43.0"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:p>Penetrating limb injuries are common during conflict, and in many there will be an associated fracture. Treatment of ballistic femoral fractures would usually be with by intramedullary nail; however, within the resource-constrained environment during conflict this is rarely possible. This report illustrates what can be achieved at a Role 2 facility to provide skeletal traction with the equipment and skills available. We discuss the history of skeletal traction and its use in ballistic femoral fractures, and believe that skeletal traction is still a valuable technique that we shouldn&amp;#x2019;t ignore. Military surgeons should be able to use skeletal traction to manage ballistic femoral fractures in the spartan environment of a deployed forward hospital.<\/jats:p>","DOI":"10.1136\/jramc-155-03-04","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"194-196","source":"Crossref","is-referenced-by-count":1,"title":["Improvised Skeletal Traction in the Management of Ballistic Femoral Fractures"],"prefix":"10.1136","volume":"155","author":[{"given":"MC","family":"Boyd","sequence":"first","affiliation":[{"name":"The Household Cavalry Regiment, Combermere Barracks, Windsor matthew.boyd@doctors.net.uk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AJC","family":"Mountain","sequence":"additional","affiliation":[{"name":"Freeman Hospital, Newcastle-Upon-Tyne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JC","family":"Clasper","sequence":"additional","affiliation":[{"name":"Royal Centre for Defence Medicine, Institute of Research & Development, Birmingham Research Park, Vincent Drive, Edgbaston, Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.2106\/00004623-200207000-00022","article-title":"Blast and fragment injuries of the musculoskeletal system","volume":"84","author":"Covey, D.C.","year":"2002","unstructured":"Covey DC. Blast and fragment injuries of the musculoskeletal system. J Bone Joint Surg Am 2002; 84: 1221-1234","journal-title":"J Bone Joint Surg Am"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1093\/milmed\/165.6.463","article-title":"A review of orthopaedic injuries in three recent US military conflicts","volume":"165","author":"Islinger, R.B.; Kuklo, T.R.; McHale, K.A.","year":"2000","unstructured":"Islinger RB, Kuklo TR, McHale KA. A review of orthopaedic injuries in three recent US military conflicts. Mil Med 2000; 165: 463-465","journal-title":"Mil Med"},{"key":"ref_3","article-title":"Surgery for victims of war","author":"Dufour","year":"1982","unstructured":"Dufour. Surgery for victims of war. 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