Ortho Traction in OrthopedicCare
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Transcript of Ortho Traction in OrthopedicCare
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TRACTION INORTHOPEDIC CARE
Gerald W. Rothacker, Jr., M.D.
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PRINCIPLES OFSKELETAL TRACTION
THE PURPOSE OFANY TRACTION
SETUP IS
• To Reduce a Fractureor Dislocation
• To Prevent or ReduceMuscle Spasm
• To Immobilize a Jointor Part of the Body
• To Treat JointPathology
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PRINCIPLES OFSKELETAL TRACTION
• Align the Distal to theProximal Fragment
• Remain Constant
• Allow for AdequateExercise andDiversion
• Allow for OptimumNursing Care
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PRINCIPLES OFSKELETAL TRACTION
TYPES
OF
TRACTION
MANUAL
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PRINCIPLES OFSKELETAL TRACTIONTYPES OF TRACTION
SKIN SKELETAL
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PRINCIPLES OFSKELETAL TRACTION
HALO VESTTRACTION
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TRACTION INORTHOPEDIC CARE
HARE TRACTION SPLINTDYNAMIC
SPLINT
STRETCH
MUSCLE
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TRACTION INORTHOPEDIC CARE
TRACTIONSPLINTS
•
Resist MuscleDeforming Forces
• Maintain Alignment
FEMUR
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TYPES OF TRACTION
BRYANT’S BUCK’S
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TYPES OF TRACTION
PELVIC SLING PELVIC TRACTION
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TYPES OF TRACTION
RUSSELL’S CERVICAL
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TYPES OF TRACTION
90-90 ELBOW
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP
• BED FRAMEUPRIGHT BARS
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP• BED FRAME
UPRIGHT BARS
• HORIZONTALBAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP• BED FRAME
UPRIGHT BARS
• HORIZONTAL BAR
• TOP VERTICAL BAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP• BED FRAME
UPRIGHT BARS
• HORIZONTAL BAR
• TOP VERTICAL BAR
• BOTTOM VERTICAL
BAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP• BED FRAME
UPRIGHT BARS
•HORIZONTAL BAR
• TOP VERTICAL BAR
• BOTTOM VERTICALBAR
• LONG TOP BAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
ADULT BED SET UP• BED FRAME
UPRIGHT BARS
• HORIZONTAL BAR
• UPRIGHT BAR TOP
• TOP VERTICAL BAR
• BOTTOM VERTICALBAR
• LONG BAR &SUPPORT
• TRAPEZE
TRACTION IN
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TRACTION INORTHOPEDIC CARE
PEDIATRIC CRIB SET UP
TRACTION IN
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TRACTION INORTHOPEDIC CARE
PEDIATRIC CRIB SET UP• BOTTOM VERTICAL
SUPPORT CLAMP
TRACTION IN
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TRACTION INORTHOPEDIC CARE
PEDIATRIC CRIB SET UP
TRACTION IN
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TRACTION INORTHOPEDIC CARE
PEDIATRIC CRIB SET UP• BOTTOM VERTICAL
SUPPORT CLAMP
• HEAD VERTICALSUPPORT CLAMP
• LONG BAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
PEDIATRIC CRIB SET UP
• BOTTOM VERTICALSUPPORT CLAMP
• HEAD VERTICALSUPPORT CLAMP
• LONG BAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BUCK’S TRACTION
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BUCK’S TRACTION
• HIP FRACTURES
• CONTROL
ALIGNMENT• RELIEVE MUSCLE
SPASM
• 5 LBS
• REWRAP EACHSHIFT
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BALANCED SUSPENSION
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PRINCIPLES OFBALANCED SUSPENSION
• Align the Distal to theProximal Fragment
•
Remain Constant• Allow for Adequate
Exercise and
Diversion• Allow for Optimum
Nursing Care
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BALANCED SUSPENSION• THOMAS SPLINT
• PEARSON
ATTACHMENT• CROSS BARS
AND PULLEYS
•
ROPE• WEIGHT PAN
AND WEIGHTS
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BALANCED SUSPENSION• THOMAS SPLINT
• PEARSON
ATTACHMENT• COUNTER
TRACTION
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BALANCED SUSPENSION• THOMAS SPLINT
• PEARSON
ATTACHMENT• COUNTER
TRACTION
•
T-P TRACTION
TRACTION IN
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TRACTION INORTHOPEDIC CARE
BALANCED SUSPENSION• THOMAS SPLINT
• PEARSON
ATTACHMENT• COUNTER
TRACTION
•
T-P TRACTION• TIBIAL TRACTION
TRACTION IN
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TRACTION INORTHOPEDIC CARE
90-90 TRACTION• FEMORAL OR
TIBIAL TRACTION
PIN• SHEEPSKIN SLING
OR SHORT LEGCAST
TRACTION IN
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TRACTION INORTHOPEDIC CARE
TRACTION PROBLEMS
• ROPE OUT OFPULLEY
TRACTION IN
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TRACTION INORTHOPEDIC CARE
TRACTION PROBLEMS• ROPE OUT OF
PULLEY
• WEIGHT TRAY ONTHE BED FRAME
TRACTION IN
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TRACTION INORTHOPEDIC CARE
TRACTION PROBLEMS• ROPE OUT OF
PULLEY
•
WEIGHT TRAY ONTHE BED FRAME
• WEIGHT TRAY ONTHE FLOOR
• WEIGHT PANAGAINST BED
TRACTION IN
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TRACTION INORTHOPEDIC CARE
TRACTION PROBLEMS• ROPE OUT OF
PULLEY
• WEIGHT TRAY ONTHE BED FRAME
• WEIGHT TRAY ONTHE FLOOR
• WEIGHT TRAYSITTING ON LOWERWEIGHT TRAY
TRACTION IN
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TRACTION INORTHOPEDIC CARE
TRACTION PROBLEMS• ROPE OUT OFPULLEY
• WEIGHT TRAY ON
THE BED FRAME• WEIGHT TRAY ON
THE FLOOR
• WEIGHT TRAYSITTING ON LOWERWEIGHT TRAY
• ROPE AGAINST
BED OR BAR
TRACTION IN
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TRACTION INORTHOPEDIC CARE
TRACTION PROBLEMS• COUNTER
TRACTION PULLING
THE WRONGDIRECTION
• ROPE THROUGH
T-P SPLINT
PRINCIPLES OF
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PRINCIPLES OFSKELETAL TRACTION
NURSING CARE OF THE
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NURSING CARE OF THEPATIENT IN
SKELETAL TRACTION
NEVER
IGNOREA
PATIENT’S
COMPLAINT
NURSING CARE OF THE
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NURSING CARE OF THEPATIENT IN
SKELETAL TRACTION• SKIN PRESSURE
– Sheep Skin
– Traction Splint
– Traction Rope
– Traction Bow
• OcclusiveDressings
TRACTION IN
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TRACTION INORTHOPEDIC CARE
PREVENT COMPLICATIONS
ATTENTION
TO
DETAIL
CO C O S O
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COMPLICATIONS OFORTHOPEDIC TRAUMA CARE
Being discharged today? I just spent$8 on these flowers!
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THANK YOU !!
Gerald W. Rothacker, Jr., M.D.