Traction

Front 1

Fracture care with traction

Back 1

The muscles of the long bones may contract and displace the major fragments which can lead to malalignment in the joint, swelling and pain. It can also cause increased pressure on nerves or blood vessels and lead to irreversible soft tissue damage.

Front 2

Skin traction

Back 2

Involves the use of weights attached to the skin by various devices, tape, straps, boots and cuffs. The weight ranges from 5 to 7 pounds

Front 3

Bucks traction

Back 3

Type of skin traction. Longitudinal traction on an extremity by means of an apparatus involving adhesive tape attached to the skin. The cord attached to adhesive tape is fed through a pulley and a weight is attached to the other end of the cord to provide proper traction. Commonly used to treat patients with fractures who are waiting to undergo a surgical procedure

Front 4

Disadvantages of bucks traction

Back 4

Cannot be used on patients who have extensive tissue damage. You also have to be careful as the pressure exerted on this form of traction can form ischemic changes in patients with poor circulation. Bucks traction only allows for a certain amount of weight to be used due to skin shearing and pressure sores and some fractures need more weight than bucks traction allows

Front 5

Russell’s traction

Back 5

Uses skin traction on the lower leg to suspend the distal thigh by means of a sling. Often used to treat hip fractures in the elderly

Front 6

Hare traction skeletal traction

Back 6

Form of temporary traction used while transporting acute injury cases. Usually used to treat femur fractures. It realigns the end of the fracture reducing pain and restoring blood circulation. It consist of a long leg splint, a ratchet device to allow adjustment and straps to help immobilize the leg

Front 7

Skeletal traction

Back 7

An invasive procedure that uses hardware placed in bones to apply traction. These are applied surgically and used when larger amounts of weight, 25 to 40 pounds, are needed during traction. The hardware can be left in the bones for a matter of months

Front 8

Bryant’s traction

Back 8

A type of skeletal traction. Used to maintain alignment of femoral fractures in children up to two years of age or those weighing less than 30 pounds. Compressive wraps are placed around the legs and the rope extends from the wrap to the traction weight. Longitudinal traction is applied and pulls the femoral head distally. Also used for congenital hip dislocation’s in children

Front 9

Dunlops traction

Back 9

A type of skeletal traction. Most frequently used to treat supracondylar elbow fractures in children. Can combine skin and skeletal traction. Longitudinal traction is applied at the distal end of the humerus and counteracting this with longitudinal traction the forearm with the elbow at 90°

Front 10

Hip/femur fracture traction in surgery

Back 10

A fracture table includes a boot which is fixed to a mobile post by a bracket. The foot on the affected leg is placed in this boot and the bracket has a winch that ensures the desired traction is placed on the muscles

Front 11

Set up orthopedic bed with trapeze

Back 11

IV post clamp is inserted in each of the IV holders at the foot/head of the bed. The two plain bars are secured by IV holders at the foot and head of the bed. The four double clamp bars (swivel ends up) are attached vertical to the outside of the horizontal plane bars at the foot/head of the bed. The two long plain bars are secured to each of the double clamp bars. One cross-clamp is fastened to the middle of each long plain bar. A plain bar is secured to each cross clamp. The trapeze is fastened to the plain bar with the handgrip placed on the trapeze knob to avoid injury to the patient.