TRACTION IN

ORTHOPEDIC CARE

Gerald W. Rothacker, Jr., M.D.

PRINCIPLES OF
SKELETAL TRACTION
THE PURPOSE OF
ANY TRACTION
SETUP IS
To Reduce a Fracture
or Dislocation
To Prevent or Reduce
Muscle Spasm
To Immobilize a Joint
or Part of the Body
To Treat Joint
Pathology

PRINCIPLES OF
SKELETAL TRACTION
Align the Distal to the
Proximal Fragment
Remain Constant
Allow for Adequate
Exercise and
Diversion
Allow for Optimum
Nursing Care

PRINCIPLES OF
SKELETAL TRACTION
TYPES
OF
TRACTION

MANUAL

PRINCIPLES OF
SKELETAL TRACTION
TYPES OF TRACTION
SKIN

SKELETAL

PRINCIPLES OF
SKELETAL TRACTION
HALO VEST
TRACTION

TRACTION IN
ORTHOPEDIC CARE
HARE TRACTION SPLINT
DYNAMIC
SPLINT
STRETCH
MUSCLE

TRACTION IN
ORTHOPEDIC CARE
TRACTION
SPLINTS
Resist Muscle
Deforming Forces
Maintain Alignment

FEMUR

TYPES OF TRACTION
BRYANTS

BUCKS

TYPES OF TRACTION
PELVIC SLING

PELVIC TRACTION

TYPES OF TRACTION
RUSSELLS

CERVICAL

TYPES OF TRACTION
90-90 ELBOW

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP

BED FRAME
UPRIGHT BARS

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP
BED FRAME
UPRIGHT BARS
HORIZONTAL
BAR

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP
BED FRAME
UPRIGHT BARS
HORIZONTAL BAR
TOP VERTICAL BAR

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP
BED FRAME
UPRIGHT BARS
HORIZONTAL BAR
TOP VERTICAL BAR
BOTTOM VERTICAL
BAR

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP
BED FRAME
UPRIGHT BARS
HORIZONTAL BAR
TOP VERTICAL BAR
BOTTOM VERTICAL
BAR
LONG TOP BAR

TRACTION IN
ORTHOPEDIC CARE
ADULT BED SET UP
BED FRAME
UPRIGHT BARS
HORIZONTAL BAR
UPRIGHT BAR TOP
TOP VERTICAL BAR
BOTTOM VERTICAL
BAR
LONG BAR &
SUPPORT
TRAPEZE

TRACTION IN
ORTHOPEDIC CARE
PEDIATRIC CRIB SET UP

TRACTION IN
ORTHOPEDIC CARE
PEDIATRIC CRIB SET UP
BOTTOM VERTICAL
SUPPORT CLAMP

TRACTION IN
ORTHOPEDIC CARE
PEDIATRIC CRIB SET UP

TRACTION IN
ORTHOPEDIC CARE
PEDIATRIC CRIB SET UP
BOTTOM VERTICAL
SUPPORT CLAMP
HEAD VERTICAL
SUPPORT CLAMP
LONG BAR

TRACTION IN
ORTHOPEDIC CARE
PEDIATRIC CRIB SET UP
BOTTOM VERTICAL
SUPPORT CLAMP
HEAD VERTICAL
SUPPORT CLAMP
LONG BAR

TRACTION IN
ORTHOPEDIC CARE

BUCKS TRACTION

TRACTION IN
ORTHOPEDIC CARE

BUCKS TRACTION
HIP FRACTURES
CONTROL
ALIGNMENT
RELIEVE MUSCLE
SPASM
5 LBS
REWRAP EACH
SHIFT

TRACTION IN
ORTHOPEDIC CARE

BALANCED SUSPENSION

PRINCIPLES OF
BALANCED SUSPENSION
Align the Distal to the
Proximal Fragment
Remain Constant
Allow for Adequate
Exercise and
Diversion
Allow for Optimum
Nursing Care

TRACTION IN
ORTHOPEDIC CARE

BALANCED SUSPENSION
THOMAS SPLINT
PEARSON
ATTACHMENT
CROSS BARS
AND PULLEYS
ROPE
WEIGHT PAN
AND WEIGHTS

TRACTION IN
ORTHOPEDIC CARE

BALANCED SUSPENSION
THOMAS SPLINT
PEARSON
ATTACHMENT
COUNTER
TRACTION

TRACTION IN
ORTHOPEDIC CARE

BALANCED SUSPENSION
THOMAS SPLINT
PEARSON
ATTACHMENT
COUNTER
TRACTION
T-P TRACTION

TRACTION IN
ORTHOPEDIC CARE

BALANCED SUSPENSION
THOMAS SPLINT
PEARSON
ATTACHMENT
COUNTER
TRACTION
T-P TRACTION
TIBIAL TRACTION

TRACTION IN
ORTHOPEDIC CARE

90-90 TRACTION
FEMORAL OR
TIBIAL TRACTION
PIN
SHEEPSKIN SLING
OR SHORT LEG
CAST

TRACTION IN
ORTHOPEDIC CARE

TRACTION PROBLEMS

ROPE OUT OF
PULLEY

TRACTION IN
ORTHOPEDIC CARE

TRACTION PROBLEMS
ROPE OUT OF
PULLEY
WEIGHT TRAY ON
THE BED FRAME

TRACTION IN
ORTHOPEDIC CARE

TRACTION PROBLEMS
ROPE OUT OF
PULLEY
WEIGHT TRAY ON
THE BED FRAME
WEIGHT TRAY ON
THE FLOOR
WEIGHT PAN
AGAINST BED

TRACTION IN
ORTHOPEDIC CARE

TRACTION PROBLEMS
ROPE OUT OF
PULLEY
WEIGHT TRAY ON
THE BED FRAME
WEIGHT TRAY ON
THE FLOOR
WEIGHT TRAY
SITTING ON LOWER
WEIGHT TRAY

TRACTION IN
ORTHOPEDIC CARE

TRACTION PROBLEMS

ROPE OUT OF
PULLEY
WEIGHT TRAY ON
THE BED FRAME
WEIGHT TRAY ON
THE FLOOR
WEIGHT TRAY
SITTING ON LOWER
WEIGHT TRAY
ROPE AGAINST
BED OR BAR

TRACTION IN
ORTHOPEDIC CARE

TRACTION PROBLEMS
COUNTER
TRACTION PULLING
THE WRONG
DIRECTION
ROPE THROUGH
T-P SPLINT

PRINCIPLES OF
SKELETAL TRACTION

NURSING CARE OF THE

PATIENT IN
SKELETAL TRACTION
NEVER
IGNORE
A
PATIENTS
COMPLAINT

NURSING CARE OF THE

PATIENT IN
SKELETAL TRACTION
SKIN PRESSURE
Sheep Skin
Traction Splint
Traction Rope
Traction Bow

Occlusive
Dressings

TRACTION IN
ORTHOPEDIC CARE

PREVENT COMPLICATIONS
ATTENTION
TO
DETAIL

COMPLICATIONS OF
ORTHOPEDIC TRAUMA CARE
Being discharged today? I just spent
$8 on these flowers!

THANK YOU !!

Gerald W. Rothacker, Jr., M.D.