Ortho Traction in OrthopedicCare

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    TRACTION INORTHOPEDIC CARE

    Gerald W. Rothacker, Jr., M.D.

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    PRINCIPLES OFSKELETAL TRACTION

    THE PURPOSE OFANY TRACTION

    SETUP IS

    • To Reduce a Fractureor Dislocation

    • To Prevent or ReduceMuscle Spasm

    • To Immobilize a Jointor Part of the Body

    • To Treat JointPathology

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    PRINCIPLES OFSKELETAL TRACTION

    • Align the Distal to theProximal Fragment

    • Remain Constant

    • Allow for AdequateExercise andDiversion

    • Allow for OptimumNursing Care

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    PRINCIPLES OFSKELETAL TRACTION

    TYPES

    OF

    TRACTION

    MANUAL

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    PRINCIPLES OFSKELETAL TRACTIONTYPES OF TRACTION

    SKIN SKELETAL

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    PRINCIPLES OFSKELETAL TRACTION

    HALO VESTTRACTION

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    TRACTION INORTHOPEDIC CARE

    HARE TRACTION SPLINTDYNAMIC

    SPLINT

    STRETCH

    MUSCLE

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    TRACTION INORTHOPEDIC CARE

    TRACTIONSPLINTS

    •

    Resist MuscleDeforming Forces

    • Maintain Alignment

    FEMUR

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    TYPES OF TRACTION

    BRYANT’S BUCK’S

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    TYPES OF TRACTION

    PELVIC SLING PELVIC TRACTION

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    TYPES OF TRACTION

    RUSSELL’S CERVICAL

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    TYPES OF TRACTION

    90-90 ELBOW

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP

    • BED FRAMEUPRIGHT BARS

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP• BED FRAME

    UPRIGHT BARS

    • HORIZONTALBAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP• BED FRAME

    UPRIGHT BARS

    • HORIZONTAL BAR

    • TOP VERTICAL BAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP• BED FRAME

    UPRIGHT BARS

    • HORIZONTAL BAR

    • TOP VERTICAL BAR

    • BOTTOM VERTICAL

    BAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP• BED FRAME

    UPRIGHT BARS

    •HORIZONTAL BAR

    • TOP VERTICAL BAR

    • BOTTOM VERTICALBAR

    • LONG TOP BAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    ADULT BED SET UP• BED FRAME

    UPRIGHT BARS

    • HORIZONTAL BAR

    • UPRIGHT BAR TOP

    • TOP VERTICAL BAR

    • BOTTOM VERTICALBAR

    • LONG BAR &SUPPORT

    • TRAPEZE

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    PEDIATRIC CRIB SET UP

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    PEDIATRIC CRIB SET UP• BOTTOM VERTICAL

    SUPPORT CLAMP

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    PEDIATRIC CRIB SET UP

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    PEDIATRIC CRIB SET UP• BOTTOM VERTICAL

    SUPPORT CLAMP

    • HEAD VERTICALSUPPORT CLAMP

    • LONG BAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    PEDIATRIC CRIB SET UP

    • BOTTOM VERTICALSUPPORT CLAMP

    • HEAD VERTICALSUPPORT CLAMP

    • LONG BAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BUCK’S TRACTION

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BUCK’S TRACTION

    • HIP FRACTURES

    • CONTROL

    ALIGNMENT• RELIEVE MUSCLE

    SPASM

    • 5 LBS

    • REWRAP EACHSHIFT

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BALANCED SUSPENSION

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    PRINCIPLES OFBALANCED SUSPENSION

    • Align the Distal to theProximal Fragment

    •

    Remain Constant• Allow for Adequate

    Exercise and

    Diversion• Allow for Optimum

    Nursing Care

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BALANCED SUSPENSION• THOMAS SPLINT

    • PEARSON

    ATTACHMENT• CROSS BARS

    AND PULLEYS

    •

    ROPE• WEIGHT PAN

    AND WEIGHTS

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BALANCED SUSPENSION• THOMAS SPLINT

    • PEARSON

    ATTACHMENT• COUNTER

    TRACTION

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BALANCED SUSPENSION• THOMAS SPLINT

    • PEARSON

    ATTACHMENT• COUNTER

    TRACTION

    •

    T-P TRACTION

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    BALANCED SUSPENSION• THOMAS SPLINT

    • PEARSON

    ATTACHMENT• COUNTER

    TRACTION

    •

    T-P TRACTION• TIBIAL TRACTION

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    90-90 TRACTION• FEMORAL OR

    TIBIAL TRACTION

    PIN• SHEEPSKIN SLING

    OR SHORT LEGCAST

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    TRACTION PROBLEMS

    • ROPE OUT OFPULLEY

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    TRACTION PROBLEMS• ROPE OUT OF

    PULLEY

    • WEIGHT TRAY ONTHE BED FRAME

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    TRACTION PROBLEMS• ROPE OUT OF

    PULLEY

    •

    WEIGHT TRAY ONTHE BED FRAME

    • WEIGHT TRAY ONTHE FLOOR

    • WEIGHT PANAGAINST BED

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    TRACTION PROBLEMS• ROPE OUT OF

    PULLEY

    • WEIGHT TRAY ONTHE BED FRAME

    • WEIGHT TRAY ONTHE FLOOR

    • WEIGHT TRAYSITTING ON LOWERWEIGHT TRAY

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    TRACTION PROBLEMS• ROPE OUT OFPULLEY

    • WEIGHT TRAY ON

    THE BED FRAME• WEIGHT TRAY ON

    THE FLOOR

    • WEIGHT TRAYSITTING ON LOWERWEIGHT TRAY

    • ROPE AGAINST

    BED OR BAR

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    TRACTION PROBLEMS• COUNTER

    TRACTION PULLING

    THE WRONGDIRECTION

    • ROPE THROUGH

    T-P SPLINT

    PRINCIPLES OF

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    PRINCIPLES OFSKELETAL TRACTION

    NURSING CARE OF THE

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    NURSING CARE OF THEPATIENT IN

    SKELETAL TRACTION

    NEVER

    IGNOREA

    PATIENT’S

    COMPLAINT

    NURSING CARE OF THE

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    NURSING CARE OF THEPATIENT IN

    SKELETAL TRACTION• SKIN PRESSURE

     – Sheep Skin

     – Traction Splint

     – Traction Rope

     – Traction Bow

    • OcclusiveDressings

    TRACTION IN

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    TRACTION INORTHOPEDIC CARE

    PREVENT COMPLICATIONS

    ATTENTION

    TO

    DETAIL

    CO C O S O

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    COMPLICATIONS OFORTHOPEDIC TRAUMA CARE

    Being discharged today? I just spent$8 on these flowers!

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    THANK YOU !!

    Gerald W. Rothacker, Jr., M.D.


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