Traction in orthopedic
Transcript of Traction in orthopedic
Traction
Immobilization Reduction
Inflamation Fracture Dislocation
Traction
Skin traction Skeletal traction
Skin traction
Adhesive Non-adhesive
Contraindications to skin traction
Abrasions of the skin Lacerations of the skin Impairment of circulation Dermatitis Marked shorthening of the bony fragments
Complications of the skin traction
Allergic reaction Excoriation of the skin Pressure sores Common peroneal nerve palsy
Skeletal traction
Pins :– Steinmann pin– Denham pin
Stirrup– Bohler stirrup + Steinmann pin– Kirschner wire + wire strainer
Kirschner wire
Skeletal traction
Coomon sites for application of skeletal traction :– Olecranon– 2nd and 3rd metacarpals– Upper end of femur– Lower end of femur– Upper end of tibia– Lower end of tibia– Calcaneus
Complications of skeletal traction
1. Infection of bone
2. Incorrect placement
3. Distraction at fracture site
4. Ligamentous damage
5. Damage to the epiphyseal growth plate
6. Drepressed scars
Splint
Thomas’s splint Fisk splint
Traction
Fixed traction– Thomas’s splint– Roger anderson Well-leg traction
Sliding traction– Buck’s traction / extension– Perkins traction– Hamilton Russel traction– Tulloch Brown traction– Ninety-ninety taction– Bryant’s / Gallow’s taction– Bohler-Braun fame– Dunlop traction
“Balance skeletal traction”
Spinal traction
Halter or non-skeletal traction Skull or skeletal traction
– Crutchfield tongs– Cone ( Barton ) tongs– Halo splint
Skull traction
Management :– Applying– Traction weight– Radiographs – Gradually increase the weight – Extending the neck– Reducing the weight
Skull traction
Important :– Check the neurological conditions– Check that the tong is firmly applied to the skull– Infection of the scalp– Traction cord– Traction weight– Patient’s position.
Skull traction
Complications of skull traction– Pull out– Penetrate the inner tabule– Osteomyelitis, haematoma, abscess.
Halo body orthosis
Halo-vest Halo-pelvic
Traction
Traction