Traumatology / / May 15, 2016
skeletal traction - one of the main methods of treatment of multiple fractures.It provides standard tools and equipment that are in a dedicated control room in the waiting room.The most common skeletal traction is used in the treatment of limb fractures (23.4%) in fractures of the thigh - 68%, shin - 12.3%, the shoulder - 4.4%.Every third injured with multiple fractures of the lower limbs begin treatment by this method.
Indications skeletal traction
1. helically, comminuted, multiple intra-articular and closed and open fractures of the femur, tibia, at least - of the humerus with displacement of bone fragments.
2. The multiple pelvis fractures with vertical and diagonal displacement of bone fragments.
3. Unilateral bone fractures of the pelvis and hip, femur and tibia (double skeletal traction on one side).
4. Open fractures of the femur and tibia offset (if simultaneous surgery is impossible, and plaster immobilization is ineffective).
5. The need for temporary immobilization of bone fragments b
6. If unsuccessful attempts to reach the reduction and fixation of bone fragments by other methods.
Features multiple fractures required a number of improvements skeletal traction.Standard traction systems are rigid: patient movement in bed, perestilka laundry podkladyvanie vessel cause fluctuations stretching force.With loads of 10 kg of these oscillations reaches ± 2-4 kg, resulting in disturbed peace in the zone of fracture and there are pain and reflex muscle tension.The spring inserted between the bracket and the unit, dampens vibrations of the traction force, eliminating unwanted implications.
options in the treatment of skeletal traction polifraktur
and - when combined central dislocation of the hip with fracture of the diaphysis;
used - for fractures of the femur and tibia of one limb;
in - with multiple fractures of the hip;
d - in fractures of the hip and pelvis.
When the shin bone fractures should be performed traction calibrated spring-damper, which is stretched or hook with a screw rod or cargo unit Belair tires at the same time put to 4-5 cm medial side, which allows you to store the physiological curvature of the lower leg.Protivovytyazhenie provided Hidden weight carried out via the tuberosity of the tibia, which eliminates the need to raise the foot end of the bed.Spoke and prevents rotational displacement when turning the patient in bed.When multiple oblique fractures of the long bones to keep the fragments in the correct position, you can use the side skeletal traction shtykoobrazno curved spokes.
system skeletal traction in the treatment of multiple bone fractures of the tibia (by VV Kliuchevskii)
1 - traction calibrated spring and screw drive;
2 - foot hanging over the calcaneus;
3 - lateral skeletal traction for needle with emphasis;
4 - protivovytyazhenie;
5 - mechanism of lateral traction.
- Treatment pelvis
- fractures Plaster bandages
- First aid and treatment for injuries of the abdomen
- struggle with pain in injuries
- Principles of treatment of concurrent fractures femur bone and tibia
- Multiple fracturesshin
- multiple fractures ankle
- struggle with acute blood loss in trauma
- tourniquet technique
- Transosseous osteosynthesis external fixation
- Combined treatment of injuries
- treatment of multiple rib fractures
when polifrakturahpelvic skeletal traction carry heavy loads for a plurality of spokes with mandatory protivovytyazheniem for armpits by means of loops or vertical bars.This extension is particularly indicated when combined fractures of the pelvis and spine in the thoracic or lumbar spine.
system skeletal traction large loads with a combination of pelvic fractures and spinal
When X-shaped fractures of the anterior half-ring of the pelvis to the going down of the fragments used methods bilateral skeletal traction for iliac wings