Traction

Traction background and principles

Historical background
The use to apply to injured limbs has an role the
with since the time the
The he on and
the
Through the a variety
to the way was used to deal with lower limb and
spinal
In the modern day, the and
have all so that is now the method
is still used in some and nurses still to
the and not only have the ability to apply it
and provide the care the when

Principles of traction
There are many but put simply, is the pulling
to treat or – a
and maintain bone relieve pain, or prevent
Traction is applied to the arms, spine, or the pelvis. It is used to
and and to prevent or
Traction can be used either short term, at an or in A&E
or as part an interim care plan It can also be used long as part
a
Traction is on simple and is a
To pull v there must be pull
which is to pull or thrust in the These
are and v
is the in the direction to the applied It
by a body and bed with the of
The pulling and It can also, in
control the injured part so bone and
Human is very however, and on limbs must be
and
Uses of traction

To relieve pain due to the limb in a position

or and
To restore and maintain bone and
To help restore blood and nerve
To allow and
To rest injured or joints and maintain them in a
To allow joints during
To due to by
or

Essential principles

The grip or hold on the body must be and

Provision must be
There must be minimal on the cords and
The line and the pull, once must be
There must be the and the to ensure
the is as
the is not any injury as a result the

The grip or hold on the body is v

via the

via the

Poorly applied can to the and

It is that up
are with the so
that type are well
 Care of traction apparatus

The should be at once during

any the may have been
should be carried out by a care with the
and
The should be kept and dust The
beam and hinged should be and the cord should be
running over the pulley and
• Only cord should be used as it is not to should be
and to use the and other

• The cords must be by non-slip a v

hitch or two knot
• The ends the cords should be short and not or
knots which have been joined
• The line pull the cords should be and at once
working This the pulling is applied
at all
• should be running: the cord must rest in the pulley track.
one cord should run through pulley as this and
the cord
• The amount should be and in the
The should be at all
• The must hang and not be the
be
• should be taken when to ensure that it
with the bed being
• should not be hung over the an extra cord is
and
• The pointed ends pins or wires used in the should be
to
prevent injury to the or care ro

• The should be on an to give support

plus allow to be
 Adult template for care of adult undergoing skin traction
Nursing Action Rationale

Explain the to the is to be it is

the the need

and record v
to To and prevent

To

as
Give as To provide pain and aid

the to To the risk ulcer

ensure is not being

Use an ulcer To score and your

Braden
Remove the once a day to
wash limb and the
Apply to the limb dur- avoids
ing or
and To the risk ulcer
to include
spine, elbows and
the to To risk deep vein
using a monkey pole to re- T v
lieve on
Apply anti To risk deep vein
and anti T v

the to do deep To the risk a

ensure that are not on To ensure that is at all

ensure that knots are not jammed in

• ensure that skin has not

down the
• ensure that are not on the
during any
• the the bed to provide
would be the head the
bed
 Types of Traction

Based on
Fixed
Sliding

2. Based on

FIXED

Traction is applied to the leg against a fixed point e

• Fixed traction in i
• Roger Anderson well-leg t i
• Halo-Pelvic i
• Used t
• Girth should be taken at uppermost thigh near ischeal tuberocity
and a cm to it.
• Measure from Crotch to Heal and it should be cm beyond
• Ring should be angled at to e side
When the weight all or the acting under
influence a is utilized to provide
c

Hamilton Russel

Tulloch Brown c

or a a c

Modified a a c

Pelvic

Dunlop c

 used preoperatively femoral

 Can use a
 No more than

 Not used to obtain or

 Hamilton Russel Traction
• Below knee skin traction is

• A broad sling is under the

Bryant's (Gallow's)
• The treatment in children
up to age 2
• Weight child should be less
• Above knee skin traction is e
• Tie the traction to the over-

Modified
• Sometimes used as a initial developmental
dysplasia hip
• days abduction both hips is
begun by about
• -degree alternate
• By three weeks hips should be

Pelvic Traction
• Used for management
• The amount by which foot should be elevated depends
i weight more heavy t i more should
be i

Dunlop Traction
• Tit supracondylar & t s l
• s when flexion elbow circulatory embarrassment
• with loss radial s
• Apply skin traction to
• Abduct shoulder about 45
• Elbow is flexed 45