splints and tran a very important topic for pg entrance.....so all about it has been discussed in detail as required for pg entrance....do make use of it...

1. SPLINTS
& TRACTIONS
In ORTHOPAEDICS
-DR.AKIF A.B

2. - Any material which is used to support a fracture is k/a Splint.
TYPES OF SPLINTS
SLABSPICACASTS
POP encircles
entire Circumference
Mnemonic : C for Cast
C for Circumference
Slab covers only
one surface of limb
Mnemonic : S for Slab
S for 1 Surface
Immobilises limb with
trunk i.e spine
Mnemonic: SPICA = SPI + CA
CAst around SPIne
Brace: a device fitted to something, in particular a weak or injured part of
the body, to give support.

3. Used in Cervical and upper thoracic spine disease.

4. Used in Scoliosis.

5. Used in : Fracture of Humerus

6. Used in fracture of Femur.

7. Used in Patella fracture

8. Displacement : S: Supination
L : lateral
displacement
I :
Impaction(proximal shift)
P: Posterior
displacement
Cast : below elbow
Position: Reverse to
displacement
pronation
ulnar deviation
Palmar angulation

9. - Used in Scaphoid #

10. Used in fracture femur and for immobilising knee

12. Used in CTEV

13. -Used in Radial N. Palsy

14. - Used in Ulnar N./ Median nerve Injury

15. -Used in Volkmann ischemic contracture
- Volkmann ischemic contracture is a
complication of supracondylar fracture

16. USED IN BRACHIAL PLEXUS INJURY

17. - Used for scoliosis

18. - Used for Developmental dysplasia of Hip.

19. - Used for Developmental dysplasia of Hip.

20. Used in : 1) Metacarpal #
2) Scaphoid #
3) Game keepers thumb

21. Used in Clavicle #

22. Used in Acromioclavicular dislocation > Shoulder dislocation

23. SKIN
TRACTION
SKELETAL
TRACTION
Indication Mild to
moderate force
Moderate to
severe force
Weight
permitted
3-4kg Upto 20kg
Applied with Adhesive tape
e.g: Buck’s
Traction/
Gallow’s/
Bryant
Steinmann
pin,Kwire
Crutchfield
tong/Ilizarow
wire/ Dunham
pin

24. Used in fracture shaft of femur in <2yrs age

25. - Conventional skin traction

26. Used in fracture shaft of femur <2yrs of age

27. Used in trochanteric #
- Type of Skin Traction

28. Fracture shaft femur in Adults

29. CORRECTION OF HIP DEFORMITY

30. Used in Supracondylar fractures

31. - Used in Cervical Spine Injuries.