Académique Documents
Professionnel Documents
Culture Documents
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TRACTION
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Inflammation of a joint or
fracture of bone
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TRACTION
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TRACTION
Controls pain.
Reduces fracture.
Maintain reduction.
Prevents & corrects deformity.
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TRACTION
Based on duration
Continuous traction
Intermittent traction
– Cervical
– pelvic
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TRACTION
Based on principle
Fixed traction
Sliding traction
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FIXED TRACTION
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SLIDING TRACTION
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SLIDING TRACTION
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SLIDING TRACTION
Buck’s traction or Extension
Perkin’s traction
Hamilton Russell traction
Tulloch Brown traction
Ninety /Ninety tractionRryant’s ( or Gallows)
traction
Modified Bryant’s traction
Sliding traction with Bohl;er-Braun frame
Lateral upper femoral traction
Agnes Hunt traction
Pelvic traction
Dunlop traction
Olecrenon traction
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TRACTION
Based on application
Skeletal traction
Skin traction
– Adhesive
– Non – adhesive
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SKIN TRACTION
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SKIN TRACTION
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SKIN TRACTION
COMPLICATIONS
Allergic reactions to adhesives.
Excoriation of skin.
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SKELETAL TRACTION
pin or wire
more frequently used in lower limb
fractures
Should be reserved for those cases in
which skin traction is contraindicated or
insufficient
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SKELETAL TRACTION
SITES
– Olecranon
– Metacarpal
– Upper end femur
– Lower end of femur
– Upper end of tibia
– Lower end of tibia
– calcaneus
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SKELETAL TRACTION
COMPLICATIONS
Infection
Cut out
Application of splint difficult
Distraction at fracture site
Ligament damage
Physeal damage
Depressed scars
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HAMILTON RUSSEL TRACTION
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HAMILTON RUSSEL TRACTION
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NINETY / NINETY TRACTION
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NINETY / NINETY TRACTION
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SLIDING TRACTION WITH A
THOMAS’S SPLINT AND KNEE
FLEXION PIECE
fracture of femur
Knee flexion piece allows easier
mobilization of the knee
Always keep the hinge at the level of
addutor tubercle.
Keep the knee flexed at about 20- 30
degree
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SLIDING TRACTION WITH
BOHLER BROWN SPLINT:
Used for the fracture of tibia or femur.
Skeletal traction is usually applied, but
skin traction can be given b/k.
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BRYANT’S (GALLOW’S )
TRACTION
the treatment of fracture shaft femur in
children up to age of 2 yrs.
Weight of child should be less than 15-
18 kg
Above knee skin traction is applied
bilaterally
Tie the traction to the over haed beam
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BRYANT’S (GALLOW’S )
TRACTION
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MODIFIED BRYANT’S
TRACTION
Sometimes used as a initial
management of developmental
dysplasia of hip (1 YR)
After 5 days of Bryant’s traction,
abduction of both hips is begun
increased by about 10 degree alternate
days.
By three weeks hips should be fully
abducted.
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LATERAL UPPER FEMORAL
TRACTION
For the management of central fracture
dislocation of the hip
about 2.5 cm from most prominent part
of greater trochanter mid way between
ant. And post. surface of femur
threaded screw eye
Traction to continued for about 4-6 wks
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PELVIC TRACTION
special canvas harness is buckled around the
patient's pelvis
Long cords or straps attached to the harness
to the foot of the bed
Used for conservative management of PIVD
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CERVICAL TRACTIONS
Halter traction
Crutchfield tongs
Cone or Barton
tongs
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CERVICAL TRACTIONS
Halter traction
Crutchfield tongs
Cone or Barton
tongs
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CERVICAL TRACTIONS
LEVEL MAX. WT
C2 4.5-5.4 Kg
C3 4.5-6.7Kg
C4 6.7-9.0Kg
C5 9.0-11.3Kg
C6 9.0-13.5Kg
C7 11.3-15.8Kg
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DUNLOP TRACTION
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Dunlop Traction
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CHARNLEY’S TRACTION
UNIT
BK POP incorporating the Steinmann or Denham
pin
Common peroneal nerve and calf muscles
protected
External rotation of the foot and distal fragments is
controlled
4. The tendo achilles is protected from pressure sores
5. Ipsilateral tibia # can be managed
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SPLINTS
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airplane s. a static orthosis that holds the
upper limb in abduction at the level of the
shoulder; used following burns in the axillary
region and for short periods following surgery
to the shoulder or brachial plexus.
banjo traction s. a dynamic orthosis to aid
extension of the fingers using a banjo-
shaped steel bar attached to the fingers with
rubber bands and plastic rings.
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Cramer's s. a flexible wire splint
consisting of parallel stout wires
between which smaller wires are
stretched like the rungs of a ladder
Coaptation s.’s small splints adjusted
about a fractured limb for the purpose
of producing coaptation of fragments
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Liston's s. a simple straight splint, often
made of wood with padding, for fracture of
the femur; it is adapted to the side of the
body and lower limb.
Thomas s. a knee-ankle-foot orthosis
consisting of two rigid rods attached to an
ovoid ring that fits around the thigh; used in
emergencies or for transporting patients, or
combined with other apparatus to provide
traction.
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Keller-Blake s. a hinged half-ring
modification of the Thomas splint for
fracture of the femur
Denis Browne s. a splint consisting of
a pair of metal foot splints joined by a
cross bar; used in talipes equinovarus.
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