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Skin & Skeletal Tractions

Skin Traction Characteristic Skeletal Traction
Through skin - Applied Through bone
- Mild to moderate force Used for - Moderate to severe force
Much satisfactory for fixed traction & less satisfactory for balanced traction. Type of traction Can be used for both fixed and balanced techniques of traction
3-4 k-g Weight permitted Up to 20 kg
- Adhesive tape, bandage
Buck’s apparatus
- Gallows’ / Bryant’s are examples of Skin traction
Applied with - Steinman pin
- Denhain’s pin
- K wire
- Ilizarov’s wire
- Crutchfield’s tong
- Bohler stirrup
- Peeling off skin Side effects - Ring sequestrum

Common Types of Emergency Splints

Upper Extremity Splinting
Figure-of-8 splint for fracture clavicle
Velpeau Bandages

Sling-and-swathe bandages
These bandages are used for shoulder dislocations, proximal humerus fractures, and humeral fractures.
Lower Extremity Splinting
Thomas splint: fracture of the femur
Jones compression splint: acute knee trauma (patellar, knee, and some tibial fractures) and acute ankle injuries
Spine splinting
Backboard: used in an emergency to transport a patient with a spinal injury
Also Note:
  1. Rush pin or nail is a intramedullary fixation device, that has blunt ends (so cortex should be predrilled before insertion). It is used to maintain position of reduced long bone fractures.
  2. Rush nail & Ender’s nail/pin are not used for skeletal traction because these have blunt ends.
  3. Pollicization is transposition of finger to replace (reconstruct) absent thumb
  4. This reconstruction of thumb is usually done by migrating index finger to the position of thumb in a patient with congenital absence or marked hypoplasia of thumb

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