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    Techniques of Nonoperative Management

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    Bella Isanan
    This document describes various techniques for non-operative management of fractures including traction methods and spinal traction. Thomas splint traction with a knee piece, Braun traction using weights and pulleys, Hamilton-Russell and Perkins traction apply traction along the femur axis. Fisk traction uses a short splint and hinged knee piece. Cranial tongs and halo rings are used for cervical spine traction, applying pins to the skull. Complications of halo rings include loss of fracture reduction, pin track infection, and nerve damage.

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    Techniques of Nonoperative Management

    Uploaded by

    Bella Isanan
    95 views11 pages
    This document describes various techniques for non-operative management of fractures including traction methods and spinal traction. Thomas splint traction with a knee piece, Braun traction using weights and pulleys, Hamilton-Russell and Perkins traction apply traction along the femur axis. Fisk traction uses a short splint and hinged knee piece. Cranial tongs and halo rings are used for cervical spine traction, applying pins to the skull. Complications of halo rings include loss of fracture reduction, pin track infection, and nerve damage.

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    traction

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    This document describes various techniques for non-operative management of fractures including traction methods and spinal traction. Thomas splint traction with a knee piece, Braun traction using weights and pulleys, Hamilton-Russell and Perkins traction apply traction along the femur axis. Fisk traction uses a short splint and hinged knee piece. Cranial tongs and halo rings are used for cervical spine traction, applying pins to the skull. Complications of halo rings include loss of fracture reduction, pin track infection, and nerve damage.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    95 views11 pages

    Techniques of Nonoperative Management

    Uploaded by

    Bella Isanan
    This document describes various techniques for non-operative management of fractures including traction methods and spinal traction. Thomas splint traction with a knee piece, Braun traction using weights and pulleys, Hamilton-Russell and Perkins traction apply traction along the femur axis. Fisk traction uses a short splint and hinged knee piece. Cranial tongs and halo rings are used for cervical spine traction, applying pins to the skull. Complications of halo rings include loss of fracture reduction, pin track infection, and nerve damage.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    Techniques of Nonoperative

    Management
    TRACTION:
    Thomas splint with a Pearson Knee Piece

    • Thomas splint supports the leg and


    balanced traction is applied.
    Braun traction and a weight and pulley system

    • Permits traction in the longitudinal


    axis of the femur.
    Hamilton-Russell Traction

    • Uses a one-pulley system to provide


    support for the femur and to apply
    traction.
    Perkins Traction

    • A straight pull along the axis of the


    femur through a proximal pin but
    without splint.
    Fisk Traction

    • Consists of a short Thomas splint and


    a hinged knee piece.
    • Traction in the axis of the femur was
    maintained using a proximal tibial
    transosseous pin, but the patient
    could flex the hip and knee.
    90-90 Traction

    • The thigh is pulled upward and both


    hip and knee are at 90 degrees.
    Spinal Traction
    Cervical Spine
    • Use for the management of cervical fractures and dislocations.
    • To reduce a fracture or dislocation, thereby decompressing the neural
    elements and providing a degree of spinal stability.
    Cranial Tongs
    • Consists of a hemicircular frame with
    two spring-loaded angulated pins
    that are placed into the outer table
    of the skull at points about 1 cm
    posterior to the external auditory
    meatus and 1 cm superior to the
    pinna of the ear.
    Halo Rings
    • Tolerate higher loading than cranial
    tongs and can be incorporated into a
    cast or brace to allow definitive
    treatment.
    • Attached with 4 pins: 2 anterior and 2
    posterior.
    Complications
    • 31% of normal cervical spinal motion is permitted by halo-body
    orthoses.
    • 10% of patients lose fracture reduction.
    • Pin track sepsis occurs in 20% of patients.
    • Pin loosening at rates of 36-60%.
    • Nerve damage, dural puncture, skull perforation and brain abscesses.

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