Encourage the patient to actively exercise the unaffected extremities. Treatment options in Paediatric Femoral Shaft Fractures. Lubricate pulleys and check ropes for fraying. Explain the traction patient to retain further apparatus. Utilize draw sheets when appropriate. This can be done twice a day, daily or even weekly depending on protocols Lee et al.
Written by: Title: Nursing staff of the Regional Orthopaedic Unit. It is often easy to see a state of depression beginning and it will be easier to dispel in its early stages. Pre-operative traction for fractures of the proximal femur in adults. In most cases, a minor superficial infection can be treated with increased pin site care in conjunction with oral antibiotic therapy Walker 2012. Give pin care once a shift. Comparative effectiveness of pain management interventions for hip fracture: a systematic review. Massage the skin of the right leg with lotion every 8 hours.
Journal of Orthopaedic Trauma, 19 10 , 724-733. Maintaining activities of daily living while in traction. Author Sally is a Rehabilitation Clinical Nurse Specialist and Nurse Educator teaching the Diploma of Nursing. A thorough bony prominences sacrum, skin assessment should be trochanters, scapulae, elbows, carried out each time the heels, inner and outer patient is repositioned. Skeletal traction pins, wires, tongs permits use of greater weight for traction pull than can be applied to skin tissues. We explain the concepts and walk you through the steps. Annals of internal medicine, 155 4 , 234-246.
When your child is lying on his back, the traction holds the legs upright and the weight on the traction gently stretches your child's leg. In recent years, however, other surgical techniques have become more advanced and more effective in correcting fractures, damaged muscles, and spinal conditions. The dorsalis pedis pulse is located on the mid-dorsum of the foot above the second third digit. Midland Area Revision No: 0 Page: 7 Department Orthopaedic No. Moving around and walking may be challenging and can make you tired. She is passionate about education in nursing so we can become the best nurses possible.
The type of traction used will depend on the location and the nature of the problem. Due to a lack of clear consensus on definition, a pin site infection and, consequently, pin site care protocols, are lacking much reliable evidence. Of Pages:9 Guideline Date: January 04 Guideline Title: Nursing care of a patient on Traction. Physicians will routinely prescribe a stool softener for immobilized patients in order to prevent constipation. Midland Area Revision No: 0 Page: 9 Department Orthopaedic No. It may also be performed to immobilize the spine after a neck injury.
A therapist can also teach you new skills to compensate for any pain, weakness, or paralysis you may have experienced as a result of being injured. Assist with or perform those tasks that the patient cannot perform. Of Pages:9 Guideline Date: January 04 Guideline Title: Nursing care of a patient on Traction. External fixation devices come with many risks and benefits to the patient. The affected body part is then pulled into the right position using a pulley system attached to the hospital bed.
. Traction and orthopaedic appliances 2 nd edition. There are no pins to care for with skin traction. Please call 911 in the case of any medical emergency. You and your doctor can discuss whether traction is the best option for your particular condition. Most infections respond to oral antibiotics as generally they are from a Staphylococcus Aureus infection, but sometimes they do extend into deeper tissues and bone causing osteomyelitis, septic arthritis and in some cases septicaemia Walker 2012. Keep ropes unobstructed with weights free; avoid lifting or releasing weights.
This traction is used mainly to help reduce congenital hip dislocation. Loose or excessively tightened clamps or nuts can alter the compression of the frame, causing misalignment. Maintain neutral position of affected part with sandbags, splints, trochanter roll, footboard. The first few days after traction is performed can be difficult. Once the material has been applied, weights are fastened to it. Assess areas over traction tape for tenderness or skin irritation. Midland Area Revision No: 0 Page: 2 Department Orthopaedic No.
Most of the time I leave it on if possible. The weights must be suspended and not in contact with the bed or resting on the floor. The purpose of traction is to guide the body part back into place and hold it steady. Review follow-up and serial X-rays. This involves documentation and monitoring of all pin sites through regular pin site care.
Picture — Foam stirrup and bandage. There are many individual factors that can also increase the risk of the individual developing pin site infection. Pin Site Infection One of the most common risks involved when external fixation devices are used is infection. As edema subsides, readjustment of splint or application of plaster or fiberglass cast may be required for continued alignment of fracture. Buck's traction is certainly one of the more common traction setups seen in orthopaedic patient care today. Ropes and pulleys should be in straight alignment and the ropes should be unobstructed. This can then create an unstable fixator, which results in an unsuitable environment for bone healing, increased movement in the limb and pin site irritation, which is often a precursor for pin site infection.