Blog

DIFFERENT SPLINTS AND TRACTION USED IN ORTHOTEDICS

Posted on: September 20th, 2016 by admin No Comments

SPLINT:

Any material used to support a fracture is known as splint.

  • Unconventional.
  • Conventional.

INDICATIONS:

  • Temporary immobilization of sprains, fractures and reduced dislocations.
  • Control pain
  • Prevention of further soft tissue or neurovascular injuries.

CRAMER-WIRE SPLINT:

cramer-wire-splint

  • Ladder splint.
  • Used temporary splint for fractures during transportation.
  • Made of 2 thick parallel wires with interacting wires.
  • Can be bent into different shapes.

THOMAS KNEE-BED SPLINT:

  • Initially used for immobilization for tuberculosis of the knee.

thomas-knee-bed-splint

BOHLER BRAUN SPLINT:

bohler-braun-splint

  • ADVANTAGES: Angle of traction can be changed without changing traction arrangements. Simultaneous tractions possible.
  • DISADVANTAGE: Not suitable for transportation.

DENNIS BROWN SPLINT:

dennis-brown-splint

dennis-brown-splint-1

COCK-UP WRIST SPLINT:

cock-up-wrist-splint

TAYLOR’S BRACE:

taylors-brace

CARE OF A PATIENT IN A SPLINT:

  • Splint should be properly applied, well-padded at bony prominences and at the fracture sites.
  • Bandage of the splint shouldn’t be too tight nor too loose.
  • Patient should be encouraged to actively exercise the muscles and the joints inside the splint as much as permitted.
  • Any compression of nerve or vessel should be detected early and managed accordingly.
  • Daily checking and adjustments should be made.

AEROPLANE SPLINT:

aeroplane-splint

MILWAUKEE BRACE:

milwaukee-brace

TRACTION:

Traction is a method of restoring alignment to a fracture through gradual neutralization of muscular forces.

USES:

  • Reduction of fractures and dislocations.
  • Immobilizing painful and inflamed joint.
  • Preventing deformities.
  • Correction of soft tissue contractures.

TYPES OF TRACTION:

  • FIXED TRACTION

Counter traction is provided by the part of the body.

  • SLIDING TRACTION

Weight of the body under influence of gravity provides counter-traction.

types-of-traction

METHODS OF APPLYING TRACTION:

  • Skin traction:
  • Adhesive/non adhesive strap is applied on the skin and traction is applied.
  • Acts over large area.
  • Maximum weight permissible 6-7kg.

methods-of-applying-traction

  • Skeletal traction:

Traction applied through pin/wire driven through bone.

skeletal-traction

SKIN TRACTION SKELETAL TRACTION
AGE Children Adults
APPLIED WITH Adhesive plaster Pin,wire
APPLIED Skin Bone
SITE Below knee Upper tibial pin traction
Wt.PERMITTED 3-4 kg 20kg
DURATION Short long

COMPLICATIONS OF TRACTION:

  • Over distraction.
  • Loss of position.
  • Pressure sores.
  • Tin track infection.
  • Injury to vessels or nerves.

CARE OF PATIENT IN TRACTION:

  • Traction should be made comfortable.
  • Proper functioning of traction unit must be ensured.
  • Sensation over toes and fingers should be normal.
  • Proper position of fracture ensured by taking check x-rays in traction.
  • Physiotherapy of limb should be continued to minimize muscle strength(wasting).

Leave a Reply