SPLINTS

& TRACTIONS
In ORTHOPAEDICS
-DR.AKIF A.B
 - Any material which is used to support a fracture is k/a Splint.

TYPES OF SPLINTS

SPICA SLAB
CASTS
Slab covers only
POP encircles Immobilises limb with one surface of limb
entire Circumference trunk i.e spine
Mnemonic : S for Slab
Mnemonic : C for Cast Mnemonic: SPICA = SPI + CA S for 1 Surface
C for Circumference CAst around SPIne

Brace: a device fitted to something, in particular a weak or injured part of

the body, to give support.
Used in Cervical and upper thoracic spine disease.
Used in Scoliosis.
Used in : Fracture of Humerus
Used in fracture of Femur.
Used in Patella fracture
Displacement : S: Supination
L : lateral
displacement
I:
Impaction(proximal shift)
P: Posterior
displacement

Cast : below elbow

Position: Reverse to
displacement
pronation
ulnar deviation
Palmar angulation
- Used in Scaphoid #
Used in fracture femur and for immobilising knee
Used in CTEV
-Used in Radial N. Palsy
- Used in Ulnar N./ Median nerve Injury
-Used in Volkmann ischemic contracture

- Volkmann ischemic contracture is a

complication of supracondylar fracture
USED IN BRACHIAL PLEXUS INJURY
- Used for scoliosis
- Used for Developmental dysplasia of Hip.
- Used for Developmental dysplasia of Hip.
Used in : 1) Metacarpal #

2) Scaphoid #

3) Game keepers thumb

Used in Clavicle #
Used in Acromioclavicular dislocation > Shoulder dislocation
 SKIN SKELETAL
TRACTION TRACTION

Indication Mild to Moderate to

moderate force severe force

Weight 3-4kg Upto 20kg

permitted

Applied with Adhesive tape Steinmann

pin,Kwire
e.g: Buck’s
Traction/ Crutchfield
Gallow’s/ tong/Ilizarow
Bryant wire/ Dunham
pin
Used in fracture shaft of femur in <2yrs age
- Conventional skin traction
Used in fracture shaft of femur <2yrs of age
Used in trochanteric #

- Type of Skin Traction

Fracture shaft femur in Adults
CORRECTION OF HIP DEFORMITY
Used in Supracondylar fractures
- Used in Cervical Spine Injuries.