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    Traction

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    Emmanuel Chris Arcay
    Traction is an orthopedic technique used to straighten broken bones or relieve pressure on the spine. There are two main types of traction: skin traction and skeletal traction. Various traction methods are still used today, such as Bryant's traction for femoral fractures in children and Buck's traction for hip fractures. Traction aims to regain bone alignment and length, reduce fractures, and relieve nerve and muscle pressure. It is usually just one part of treatment and requires careful application and monitoring under a physician's orders.

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    Traction

    Uploaded by

    Emmanuel Chris Arcay
    400 views3 pages
    Traction is an orthopedic technique used to straighten broken bones or relieve pressure on the spine. There are two main types of traction: skin traction and skeletal traction. Various traction methods are still used today, such as Bryant's traction for femoral fractures in children and Buck's traction for hip fractures. Traction aims to regain bone alignment and length, reduce fractures, and relieve nerve and muscle pressure. It is usually just one part of treatment and requires careful application and monitoring under a physician's orders.

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    Traction is an orthopedic technique used to straighten broken bones or relieve pressure on the spine. There are two main types of traction: skin traction and skeletal traction. Various traction methods are still used today, such as Bryant's traction for femoral fractures in children and Buck's traction for hip fractures. Traction aims to regain bone alignment and length, reduce fractures, and relieve nerve and muscle pressure. It is usually just one part of treatment and requires careful application and monitoring under a physician's orders.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    400 views3 pages

    Traction

    Uploaded by

    Emmanuel Chris Arcay
    Traction is an orthopedic technique used to straighten broken bones or relieve pressure on the spine. There are two main types of traction: skin traction and skeletal traction. Various traction methods are still used today, such as Bryant's traction for femoral fractures in children and Buck's traction for hip fractures. Traction aims to regain bone alignment and length, reduce fractures, and relieve nerve and muscle pressure. It is usually just one part of treatment and requires careful application and monitoring under a physician's orders.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Traction (orthopedics)

    Early Greek traction device, from a Byzantine edition of Galen's work in the 2nd century AD.

    In orthopedic medicine, traction refers to the set of mechanisms for straightening broken
    bones or relieving pressure on the spine and skeletal system. There are two types of traction: skin
    traction and skeletal traction.

    It is largely replaced now by more modern techniques, but certain approaches are still used
    today:

    • Bryant's traction
    • Buck's traction - hip fractures
    • Dunlop's traction - humeral fractures in children
    • Russell's traction
    • Milwaukee brace

    Skeletal traction
    Although the use of traction has decreased over the years, an increasing number of orthopaedic
    practitioners are using traction in conjunction with bracing (see Milwaukee brace). The section
    below provides some details on traction and its use.

    Bryant's Traction
    Bryant's traction is mainly used in young children who have fractures of the femur or congenital
    abnormalities of the hip.[1] Both the patient's limbs are suspended in the air vertically at a ninety
    degree angle from the hips and knees slightly flexed. Over a period of days, the legs hips are
    gradually moved outward from the body using a pulley system. The patient's body provides the
    countertraction.
    Purpose
    The purpose of traction is to:

    • To regain normal length and alignment of involved bone.


    • To reduce and immobilize a fractured bone.
    • To lessen or eliminate muscle spasms.
    • To relieve pressure on nerves, especially spinal.
    • To prevent or reduce skeletal deformities or muscle contractures.

    In most cases traction is only one part of the treatment plan of a patient needing such therapy.
    The physician’s order will contain:

    • Type of traction
    • Amount of weight to be applied
    • Frequency of neurovascular checks if more frequent than every four (4) hours.
    • Site care of inserted pins, wires, or tongs
    • The site and care of straps, harnesses and halters
    • The inclusion of any other physical restraints / straps or appliances (eg. mouth guard)
    • the discontinuation of traction

    Responsibility of initial application


    The physician is typically responsible for initial application of traction and weights while the
    adjustment or removal (to perform ablution functions / physiotherapy) of skeletal traction
    weights will be based on the doctors charted plan.

    In most cases cervical traction may be adjusted or temporarily removed, per physician order, by
    an orthopedic nurse who has documented competency to do so.

    The alignment and moving of the patient will only be changed on physician's directive and the
    affected extremity will need to be maintained in proper alignment at all times with the ropes and
    traction straps - making sure the mentioned is unobstructed and weights hanging freely.

    If it is necessary to move the patient while skeletal traction is in place, the patient should be
    moved in the bed with weights hanging freely.

    In most cases traction will be applied for a number of weeks to months and Neurovascular
    checks will need to be performed by a nurse as ordered by the physician or as dictated per
    traction unit policy.

    Traction is an appropriate treatment for a number of medical problems including spinal


    deformities such as scoliosis.

    Evidence basis
    There is no high-quality scientific evidence that supports or refutes the use of either intermittent
    or continuous traction for chronic neck pain.[2]

    See also
    • Spinal decompression

    References
    1. ^ "Traction Guidelines". http://www.kaleidoscope.org.au/docs/GL/Traction_Kal.pdf.
    Retrieved 2007-07-01.
    2. ^ Graham N, Gross A, Goldsmith CH et al. (2008). "Mechanical traction for neck pain
    with or without radiculopathy". Cochrane Database Syst Rev (3): CD006408.
    doi:10.1002/14651858.CD006408.pub2. PMID 18646151.

    External links
    • About
    • Byrne T (1999). "The setup and care of a patient in Buck's traction.". Orthop Nurs 18 (2):
    79–83. PMID 10410051.
    • "Split Russell's / Buck Traction"
    • synd/2984 at Who Named It? - Bryant's traction

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