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Techniques of Nonoperative Management

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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Bella Isanan
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153 views11 pages

Techniques of Nonoperative Management

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.

Uploaded by

Bella Isanan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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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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