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Balance Skeletal Traction

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Balance Skeletal Traction (BST) Traction ãTraction is used to manage fractures in an effort torealign broken bones; it is most often used as atemporary measure when operative fixation is notavailable for a period of time. ãTraction can either be applied through the skin (skintraction) or through pins inserted into bones (skeletaltraction) ãSkin traction is generally less desirable due to the factthat skin can be injured when pressure is applied for extend periods of time. Skin traction called Bu
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  Balance Skeletal Traction (BST)Traction ãTraction is used to manage fractures in an effort torealign broken bones; it is most often used as atemporary measure when operative fixation is notavailable for a period of time. ãTraction can either be applied through the skin (skintraction) or through pins inserted into bones(skeletaltraction) ãSkin traction is generally less desirable due to the factthat skin can be injured when pressure is applied for extend periods of time. Skin traction calledBuck'straction - is commonly used in patients who have ahip fracture ãSkeletal traction does have the disadvantage of complications associated with pin insertion, andinfections can come from the sites of pin insertionBalance Skeletal Traction (BST)Purpose:    To maintain the anatomical position of the fractured boneSkeletal traction requires an invasive procedure inwhich pins, screws, or wires are surgicallyinstalledfor use in longer term traction requiring heavier weights.Weights used in skeletal traction generally range from25  – 40 lbs (11  – 18 kg)Other forms of skeletal traction are tibia pin traction,for fractures of the pelvis, hip, or femur;andoverhead arm traction, used in certain upper armfractures. Cervical traction is used when theneck vertebrae are fractured.Materials needed:1)   Thomas Splint  – placement of the thigh2)Pearson Attachment  – placement of the leg3)Steinman’s holder 4)Steinman’s pin5)Traction weighta.10% of the Body weight b.Inside of  the suspension rope6)Supension weighta.50% of the traction weight7)Rest Splint8)3ropes:a.Thigh rope  – the shortest b.Suspension rope  – the longestc.Traction rope9)Slings &pins10)Foot boardThe Thomas splint - (half ring) is applied in various ways: with the ring fitted posteriorlyagainst theischium or anteriorly in the groin. The thigh rests in a canvas or bandage-stripsling with the poplitealspace left free. The leather ring should not be wrapped or padded.If kept smooth, dry, and polished,the leather of the ring isdesigned to rest against theskin and resist moistureThe     Pearson attachment - is attached by clamps to the Thomas splint at knee level. Acanvas orbandage-strip sling supports the lower leg and provides the desired degree of knee flexion.A footplate is attached to the distal end of the Pearson attachment to support the foot in aneutral position. The heel should be left freeThomas Splint - The traction is in line with the long axis of the femoral shaft and is maintained by therope, pulley, and weights attached to the skeletal tractor, which is fitted onto the wire or pin.Counter traction and balanced suspension are provided by the ropes, pulleys, andweights attachedto the Pearson attachment. When all is operational, the thigh and Thomas splint will be suspendedat about a 45° angle with the bed and the lower leg andPearson attachment will be suspendedhorizontal to the mattress. The patient may sit up,turn toward the traction side, and raise his hipsabove the bed by means of the trapeze and still maintain the line of tractionApplication of Traction 1.Verify Doctor’s order 2.Inform the patient about the need & purpose of the procedure3.preparationa.Identify the different parts of orthopaedic bedb.Assemble the neede equipmentsi.Thomas Splintii.Pearson Attachment1Rest SplintSteinman Holder Steinman Pin   
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