splint-130818021838-phpapp01.pdf
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This document discusses different types of splints and traction used for immobilizing fractures. It describes ladder splints, Thomas splints, and Bohler's modification of the Braun splint. Thomas splints consist of a ring, medial bar, and lateral bar and are used to immobilize the lower limb. Bohler's modification uses pulleys to allow changing the angle of traction without changing the traction arrangements. The document also covers skin traction versus skeletal traction, complications of traction, and precautions that must be taken when applying traction.
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- 2. Any material used to support a fracture is known as splint. Unconventional. Conventional.
- 3. Temporary immobilization of sprains, fractures, and reduced dislocations Control of pain Prevention of further soft tissue or neurovascular injuries
- 5. Ladder splint. Used for temporary splintage of fractures during transportation. Made of 2 thick parallel wires with interlacing wires. Can be bent into different shapes.
- 6. Thomas splint. Devised by Hugh. Owen Thomas. Initially used for immobilisation for tuberculosis of the knee.
- 7. PARTS OF THOMAS SPLINT Consist of: Ring Medial bar Lateral bar
- 8. USE Immobilisation of lower limb
- 10. Bohler’s modification of braun splint. Consisted of only 1 pulley.
- 11. • Pulley a- calcaneal/dist al tibeal traction. • Pulley b-distal femoral/proxim al tibial traction • Pulley c- change angle of traction
- 12. Angle of traction can be changed without changing traction arrangements. Simultaneous tractions possible.
- 13. Not suitable for transportation.
- 25. 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.
- 26. Traction is a method of restoring alignment to a fracture through gradual neutralisation of muscular forces.
- 27. USES a) Reduction of fractures and dislocations. b) Immobilising painful and inflamed joint. c) Preventing deformities. d) Correction of soft tissue contractures.
- 28. FIXED TRACTION Counter-traction is provided by a part of the body. SLIDING TRACTION Weight of the body under influence of gravity provides counter-traction.
- 31. SKIN TRACTION SKELETAL TRACTION
- 32. Adhesive/non adhesive strap is applied on skin and traction applied. Acts over large area. Max.wt permissible- 6.7kg.
- 33. Traction applied through pin/wire driven through bone.
- 34. Pins used- 1. Steinmann pin 2. Denham’s pin
- 35. K wire(Kirschner’s wire)
- 36. Olecranon Greater trochanter Lower end of femur Upper end of tibia Lower end f tibia Calcaneum
- 37. 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
- 38. Over distraction Loss of position Pressure sores Pin track infection Injury to vessels or nerves
- 39. a. Traction should be made comfortable. b. Proper functioning of traction unit must be ensured. c. Sensations over toes and fingers should be normal. d. Proper position of fracture ensured by taking check xrays in traction. e. Physiotherapy of limb should be continued to minimise muscle wasting.