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  • Traction: Immobilization Reduction Inflamation Fracture Dislocation

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    Agung Try
    627 views17 pages
    This document discusses various types of traction used to immobilize and reduce fractures and dislocations. It describes skin traction, skeletal traction, and spinal traction. Skin traction can be adhesive or non-adhesive and has contraindications like skin abrasions. Skeletal traction involves pins inserted into bones, like the femur or tibia, and devices like Bohler stirrups or Kirschner wires. Complications of skeletal traction include infection, incorrect placement, and damage to growth plates. Spinal traction includes halter traction and skull traction using devices inserted into the skull like Crutchfield tongs.

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    Traction in orthopedic

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    This document discusses various types of traction used to immobilize and reduce fractures and dislocations. It describes skin traction, skeletal traction, and spinal traction. Skin traction can be adhesive or non-adhesive and has contraindications like skin abrasions. Skeletal traction involves pins inserted into bones, like the femur or tibia, and devices like Bohler stirrups or Kirschner wires. Complications of skeletal traction include infection, incorrect placement, and damage to growth plates. Spinal traction includes halter traction and skull traction using devices inserted into the skull like Crutchfield tongs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    627 views17 pages

    Traction: Immobilization Reduction Inflamation Fracture Dislocation

    Uploaded by

    Agung Try
    This document discusses various types of traction used to immobilize and reduce fractures and dislocations. It describes skin traction, skeletal traction, and spinal traction. Skin traction can be adhesive or non-adhesive and has contraindications like skin abrasions. Skeletal traction involves pins inserted into bones, like the femur or tibia, and devices like Bohler stirrups or Kirschner wires. Complications of skeletal traction include infection, incorrect placement, and damage to growth plates. Spinal traction includes halter traction and skull traction using devices inserted into the skull like Crutchfield tongs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 17

    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 “Balance skeletal traction”
    – Hamilton Russel traction
    – Tulloch Brown traction
    – Ninety-ninety taction
    – Bryant’s / Gallow’s taction
    – Bohler-Braun fame
    – Dunlop 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

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