Receiving a "flail" when reducing some fractures. R. Tillier (Revue d'Orthopédie, 1927, No. 2)

The author reports the successful use of this technique for fracture repairs. The "cepa" technique used in the posterior dislocation of the elbow joint (according to Jaboulay's idea) is as follows: The shoulder is withdrawn by 90, its lower part, above the elbow bend, is embraced by both hands of the operator so that the palms rest on the front side of the shoulder, the fingers are crossed, and the thumbs rest on the olecranon and press the latter down toward the forearm; the forearm hangs free down; then a quick and strong movement shakes the forearm to resemble a chain in threshing.