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Traction question



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Jul 12, 2009 02:31 PM

Traction question


On my unit we don't often get ortho patients, especially those in traction. However, we had one that stymied all of us recently. Is it common to have 35lbs of traction applied directly to an external fixator? None of us had seen traction applied that way before, and the pt was definitely not tolerating the weight.

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4 Comments
No. 1
from ORTHOROSE
Old Jul 23, 2009, 12:02 AM

Default Re: Traction question
I have NEVER seen traction directly applied to a ex fix ???? Not in 8 years of doing ortho I will look into it.
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No. 2
from NewRN2008
Old Jul 28, 2009, 10:52 PM

Default Re: Traction question
you never attach anything directly onto the fixator. there should be still a brace to put on the pt for the traction. i would have never put that on, and questioned it immediately
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No. 3
from P_RN
Old Jul 29, 2009, 04:50 AM

Default Re: Traction question
I However have seen that. ExFixs are multiples of the traditional steinman pin/rod used in skeletal traction.. Have you asked the orthopod the purpose. Is it straight to the pin or thru several pulleys? Does the ExFix go through the bone or is it attached to a plate on the other side?
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No. 4
from nurselori001
Old Nov 04, 2009, 03:49 AM

Default Re: Traction question
I have never seen traction on an external fixator but have seen up to 85 lbs with a steinman pin with pulleys. It would make sense if the external fixator pins went through the bone, essentially the same as a steinman pin. I would definitely question why. Can't care for a patient when you don't know whats going on... interesting, can you let me know why it was used?
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