Complications of traction & Management of a patient in traction.
-
Upload
adityadayana -
Category
Health & Medicine
-
view
1.756 -
download
2
Transcript of Complications of traction & Management of a patient in traction.
COMPLICATIONS OF TRACTION
&MANAGEMENT OF
PATIENT IN TRACTION
ADITYA.D
Complications of Skin Traction
• Allergic reaction • Excoriation of the skin• Pressures sores• Common peroneal nerve palsy
Complications of Skeletal Traction
• Introduction of infection into bone• Incorrect placement of the pin or wire• Distraction of the fracture site due to heavy
weights• Ligamentous damage – prolonged period• Damage to epiphyseal growth plates• Depressed scar
Management of patients in Traction
PATIENT
NURSING CARE
MEDICAL CARE
CARE OF THE INJURED LIMB
TRACTION SUSPENSION SYSTEM
RADIOGRAPHIC EXAMINATION
PHYSIOTHERPY
REMOVAL OF TRACTION
NURSING CARE
• General appearance• Observation & Charts• Bed & Bedding• Food• Toilet• Pain Relief• Skin• Mental Status
MEDICAL CARE
• Blood loss• Chest complications• Urinary tract• Bowels• Pre – existing conditions
CARE OF INJURED LIMB
Injured limb should be examined twice daily 1.Pain 2.Paraesthesia or Numbness 3.Skin irritation 4.Swelling 5.Weakness & reduced range of movements
THE TRACTION SUSPENSION SYSTEM
1. Bed & Balkan Beam2. Splint3. Slings & Paddings4. Skin Traction5. Skeletal Traction6. Stirrups7. Cords8. Pulleys9. Weights
RADIOGRAPHIC EXAMINATION
• Regular radiographic examination• Frequency of radiographic examination 2-3 times ---- 1st week Weekly ---- next 3 weeks Monthly ---- until Union occurs After each manipulation After each change of traction weights
PHYSIOTHERAPY
• Mental & Physical condition• Rehabilitation immediately• Encouraged to be active in traction suspension
system• Emphasis on coughing and breathing exercise• Encourage venous return• Ankle and leg exercises• Joint stiffness & Disuse
REMOVAL OF TRACTION
UNTIL FRACTURE IS STABLE S.No
Types of Fracture
Time (weeks)
1. Elbow Fracture with olecranon pin 3
2. Tibial fracture with calcaneal pin 3 – 6
3. Trochanteric fracture of femur allowing partial weight- bearing 6
4. Femoral shaft fracturea. With cast brace & partial weight bearingb. Without external support & partial weight bearing
612
REFERENCE
• Traction and Orthopedic Appliances (2nd edition) by John D.M Stewart & Jaffery P. Hallett
• Practical Orthopedics by Kakkad Subhash