The Elastic Internal Traction (EIT): an effective method to reduce the displaced facial fractures

Open reduction and rigid fixation are commonly used to treat displaced fractures of the facial skeleton. Manual reduction can be performed by means of forceps or transosseus wires to close the bone fragments. In order to reduce facial fractures, we used a technique, called Elastic Internal Traction (EIT), based on the elastic action of rubber bands stretched between screws placed on both sides of the fracture line. We have used EIT in 104 patients suffering from mandibular fractures, and 40 cases of patients with orbito-maxillary complex fractures out of the 707 patients treated for trauma between July 2000 and August 2002 at our hospital. In our opinion, this technique provides an effective reduction and a stable primary fixation of the bone before the final fixation. It also has the advantage that the surgical field is clear of the assistant's hands and surgical instruments that are usually used to lock the reduction. The resulting operative time is shortened, and the plating of the bone is simplified.