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    Traction (Orthopedics)

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    Sunil Patel

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    Traction (Orthopedics)

    Uploaded by

    Sunil Patel
    67 views2 pages

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    Traction_(orthopedics)

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    © © All Rights Reserved

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    67 views2 pages

    Traction (Orthopedics)

    Uploaded by

    Sunil Patel

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Traction (orthopedics)

    Traction refers to the set of mechanisms for straightening broken bones or


    Traction (orthopedics)
    relieving pressure on the spine[1] and skeletal system. There are two types
    of traction: skin traction and skeletal traction. They are used in orthopedic
    medicine.

    Contents
    Techniques
    Skeletal traction
    Spinal decompression
    Purpose
    References
    External links

    Techniques
    Traction procedures are largely replaced now by more modern techniques, Early Greek traction device, from a
    but certain approaches are still used today: Byzantine edition of Galen's work in the 2nd
    century AD.
    Milwaukee brace
    ICD-9-CM 93.4
    Bryant's traction
    Buck's traction, involving skin traction. It is widely used for MeSH D014143
    femoral fractures, low back pain, acetabular fractures and hip
    fractures.[2] Skin traction rarely causesfracture reduction, but reduces pain and maintains the length of the bone.
    [2]

    Dunlop's traction – humeral fractures in children


    Russell's traction

    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 (seeMilwaukee brace).

    Harrison et al. (2005) found that mirror image (opposite posture) postural corrective exercises and a new method of lumbosacral tilt
    traction resulted in 50% reduction in trunk tilt and were associated with nearly resolved pain intensity in this patient population.[3]
    These researchers felt that their findings warranted further study in the conservative treatment of chronic low back pain and spinal
    disorders.

    Spinal decompression
    Spinal traction as a means of spinal decompression is often applied without directly touching bones as other methods of traction do.
    This is sometimes isolated inside-out by inflatable girdles or use of the transversus abdominis muscle. It is also done in conjunction
    with thigh-supported flexed-hip traction (inversion chairs, back hyperextensions) or done in conjunction with whole-leg traction
    (boots, tables) via inverted forms of suspension.
    Traction of the spine (except the cervical) also occurs with upright suspension of the body from the arms, such as with pull-ups, dips,
    captain's chair, chinnings (chin up exercise) or other fitness movements with the feet dangling.

    Purpose
    The purpose of traction is to:

    Regain normal length and alignment of involved bone


    Lessen or eliminate muscle spasms
    Relieve pressure on nerves, especially spinal nerves
    Prevent or reduce skeletal deformities or muscle contractures
    To provide a fusiform tamponade around a bleeding vessel
    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 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 (e.g., mouth guard)
    The discontinuation of traction

    References
    1. Burke, G.L., "Backache from Occiput to Coccyx(http://www.macdonaldpublishing.com/Chapter_8.html)"
    2. Skin Traction - Lower Extremity(http://www0.sun.ac.za/ortho/webct-ortho/general/trac/trac-2.html)from University of
    Stellenbosch, Department of Orthopaedic Surgery . Retrieved May 2, 2013
    3. Harrison DE, Cailliet R, Betz JW, Harrison DD, Colloca CJ, Haas JW, Janik TJ, Holland B (Mar 2005)."A non-
    randomized clinical control trial of Harrison mirror image methods for correcting trunk list (lateral translations of the
    thoracic cage) in patients with chronic low back pain"(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476700). Eur.
    Spine J. 14 (2): 155–62. doi:10.1007/s00586-004-0796-z(https://doi.org/10.1007%2Fs00586-004-0796-z) .
    PMC 3476700 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476700). PMID 15517424 (https://www.ncbi.nlm.nih.
    gov/pubmed/15517424).

    External links
    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
    "Physio-pedia about another spinal traction therpay method"

    Retrieved from "https://en.wikipedia.org/w/index.php?title=T


    raction_(orthopedics)&oldid=891369889"

    This page was last edited on 7 April 2019, at 14:18(UTC).

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