skeletal traction

1. TRACTION

2.  Is the act of pulling and drawing and
drawing which is associated with counter
traction.
 It can be sliding or fixed. In the fixed type,
the traction is applied against a counter
force while the pull is continuous and
intact. Ex. HARE traction. In sliding type,
the patient’s weight is balanced against an
applied load making use of the
gravitational pull to counter balance the
applied traction. Ex. Crutchfield tong,
while the bed is tilted by shock blocks.

3. Traction application can either be on
the SKIN or on the BONE, Skeletal.
SKIN-adhesive straps are applied to the
skin while the pull is offered by a weight.
BONE-a pin is driven across the bone to
provide an excellent hold while the
weight is attached.

4. SKINTRACTION

5. BONE
TRACTION

6. BALANCED
SKELETAL
TRACTION
INDICATION:
To provide immobilization
To prevent further deformity or
correct deformity
To reduce pain and muscle spasm
To reduce fracture
To maintain good body alignment
For support

7. BalanceSkeletal
Traction

8. PREPARATION
PHASE:
Check for the physician’s order
Inform and explain the purpose
and procedure to the patient- for
easy installation and cooperation
during the procedure.
Assemble all equipment

9. PREPARE
TRACTION
EQUIPMENTS
 Thomas Splint with Pearson attachment
 Rest splint
 5 slings of variable size
 5 paper clips or safety pins
 Cord sash of different length
 Short –for the thigh(thigh rope)
 Long- for the traction (suspension rope)
 Longest- for the suspension (hanging rope)
 Weights and bags-suspension weight is ½ lighter
that the weight of the traction
 Foot support-to prevent foot drop

10. PARTSOFAN
ORTHOPEDIC
BED
 Firm mattress
 Fracture board
 Bed elevator or shock block
 Balkan Frame
 4 vertical bars
 2 horizontal bars
 1 diagonal bar
 1 straight bar or cross bar
 Pulleys-3
 Clamps to hold the bars in place
 Overhead tarpeze

12. PARTS

13. TRACTION
EQUIPMENT

14. TYPES

15. 1. SIDEARMTRACTION
-supracondylarfracture
humerusshoulder

16. 2.90-90LOWER
EXTREMITY
TRACTION
-displacedfemoral
fracture

17. 3. HALOPELVIC
TRACTION
-scoliosis

18. 4.HALOFEMORAL
TRACTION
-severescoliosis

19. 5.BRYANT
TRACTION
-fractureoffemur,
injuriestothehip
amongchildren
before3y/o;skin
traction

20. 6.HAMMOCK
SUSPENSION
TRACTION
-pelvis region

21. 7.BUCKS
EXTENSION
TRACTION
-affection of
femurandhip

22. 8.BOOT
TRACTION
- ankle
metatarsal
fracture

23. 9. DUNLOP
TRACTION
-supracondylar
fracture humerus

24. 10. HEAD
HALTERTRACTION
-cervical spine
affection

25. 11. PELVIC
TRACTION
-lumbar spine
suchasHNP,low
backsyndrome

26. 12. HEADHALTER/PELVIC
GIRDLE
-non-adhesivelumbar
affection
-severecervicalsprain,cervical
strain,torticollis,mildcervical
trauma,pottsdisease