No matter how complicated a fracture might appear to be, traction will often times pull the fragments into alignment very nicely.
the traction cords are tied to the distal end of the splint and the counter-traction force passes along the side bars of the splint to the ring and hence to the body proximal to the attachment of the muscles in spasm.
Initially more weight for reduction then reduce
Traction in orthopaedics
WHAT IS TRACTION ?
Traction - the application of a force to
stretch certain parts of the body in a
WHY DO WE NEED TRACTION ?
Reduction of fractures and dislocations and their
For immobilizing a painful, inflamed joint
For the prevention of deformity, by counteracting
the muscle spasms associated with painful joint
For correction of soft tissue contractures by
stretching them out
Traction force is applied over a large area of
Applied over limb distal to fracture site
Anteromedial and posterolateral part should
be covered with cotton.
Adhesive skin traction:
Maximum weight 6.7 kg
Non-adhesive skin traction
Maximum weight should not exceed 4.5 kg
Used in thin and atrophic skin,
skin sensitive to adhesive strapping.
COMMON SKIN TRACTIONS
Gallow’s or Brayant’sTraction
Can use tape
No more than 5 kgs
HAMILTON RUSSEL TRACTION
Below knee skin traction is applied
A broad soft sling is placed under the knee
BRYANT’S (GALLOW’S )
the treatment of fracture shaft femur in
children up to age of 2 yrs.
Weight of child should be less than 15- 18 kg
Above knee skin traction is applied bilaterally
Tie the traction to the over head
MODIFIED BRYANT’S TRACTION
Sometimes used as a initial
management of developmental
dysplasia of hip (1YR)
After 5 days of Bryant’s traction,
abduction of both hips is begun
increased by about 10 degree
By three weeks hips should be fully
COMPLICATIONS Of Adhesive SkinTraction :
Allergic reactions to adhesives.
Excoriation of skin.
Pressure sores over bony prominences and
Common peroneal nerve palsy.
pin or wire
more frequently used in lower limb fractures
Should be reserved for those cases in which
skin traction is insufficient.
Generally used when more weight is needed
to give traction.
To treat fractures conservatively.
SOME SKELETAL TRACTIONS
Lateral or Upper FemoralTraction
Nintey / Nintey traction
LATERAL or UPPER FEMORAL
For the management of central
fracture dislocation of the hip
about 2.5 cm from most prominent
part of greater trochanter mid way
between ant. And post. surface of
Attach weight upto 9 kgs
Traction to continued for about 4-6 wks
NINETY / NINETY TRACTION
Used for sub trochanteric fractures and those
in the proximal third of the shaft of the femur
Management of fractures with posterior
wound is easier
Traction is given through lower femoral pin,
which is more efficient, or by upper tibial pin.
Distraction at fracture site
SKINTRACTION Head Halter traction
Cone or Barton tongs
Head Halter traction
Simple type cervical
Management of neck pain
Weight should not exceed
3 kg initially
Can only be used a few
hours at a time
Head end should be
elevated to give counter