The document discusses splints and tractions used in orthopedics for supporting fractures. It outlines different types of splints, such as slabs and casts, and their applications in various fractures and conditions. Additionally, it explains skin and skeletal traction methods, including indications and weight limits for treatment.

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.