Tibial traction pins are applied from a lateral to medial direction, from an anatomic area that is known to be unknown. On the lateral aspect of the proximal tibia, the major neurovascular structure in the area is the common peroneal nerve. The common location for this nerve is approximately 2 cm distal to the fibular head as the common ...

Skeletal traction can be applied either through a distal femoral or proximal tibial pin. The application of the latter is shown here. Skeletal traction may have multiple serious complications: Pin-track infections; Muscle wasting; Prolonged bed immobilization with resultant bed sores; Increased resource utilization (nursing care)

Proximal tibia skeletal traction was chosen in this patient to provide temporary immobilization and pain control while they awaited surgery. When placing a proximal tibia skeletal traction pin, the goals should be to place it safely, sterilely, and as comfortably for the patient as possible. To do this, it is critical to have knowledge of the ...

2024年1月31日 · Historically, lower extremity skeletal traction also has been used to maintain the alignment and stability of fractures during nonsurgical management. Common indications for the application of traction pins include fracture realignment and immobilization; minimization of muscle spasm; and prevention of muscle contractures, which may make ...

2016年8月24日 · Chapter 16 Tibial Skeletal Traction Overview Tibial traction is accomplished with placement of a pin across the proximal tibial metadiaphysis and attachment to a pulley system secured to the bed. Indications for use Femoral shaft fractures Precautions 1. Do not set up tibial traction until confirming that no injury is present about the knee. a.…

2021年8月1日 · Proximal Tibia Skeletal Traction: Technique and Indications. Mitchel R Obey Marschall B Berkes Christopher M McAndrew Anna N Miller PMID: 34227608 J Orthop Trauma. 2021 08 01;35(Suppl 2):S44-S45. Proximal Tibia Skeletal Traction: Technique and Indications. ...

2023年10月26日 · Tibia Skeletal Traction 2. Femoral Skeletal Traction: This is the method of choice for pelvic, acetabular, and many femoral shaft fractures (especially in knees with ligamentous injuries). The pin is placed from medial to lateral (directed away from the neurovascular bundle) at the adductor tubercle, slightly proximal to the femoral epicondyle.

Inspired by the "traveling traction" [14], the insertion point of this technique is the common bone traction point for lower limb fractures, such as that in femoral supracondylar, tibial tubercle ...

2024年6月14日 · Charnley traction unit (boot) is ideally suited for both balanced suspension and fixed skeletal traction (which is discussed next) (Fig. 9-11). A Pearson attachment allows for flexion motion of the knee joint, which is an advantage, especially for those in traction for a long period of time or for those who have a comminuted tibial plateau ...

2016年6月5日 · 2. If the skeletal injury allows, assess the ligamentous knee integrity prior to placement of a tibial traction pin. 3. The Steinmann pin must be placed orthogonal to the long axis of the limb in all three planes. This is the most important if traction is to be used for the maintenance of alignment over an extended period or as definitive ...