Who is Right?

Hi,

Thank you for taking the time to read this thread.

My question may seem basic; however, there is very limited literature about it. Basically, what is the proper way to hold a limp with an external fixator.

I had a patient who sustained extensive tibial fracture from a MVA and after surgery, developed compartment syndrome, requiring a fasciotomy. While changing the dressing, the nurse assisting me, held the limp by the bar of the fixator; I asked her to hold the limp itself (graciously, refraining from questioning my request in front of the patient). However, afterward she told me she was taught to hold a limp by the fixator, to which I disagreed. This generated a lively discussion in the unit, with everyone basically doing one or the other (some even said both ways were correct). I didn't have a chance to ask the surgeon and as I mentioned, literature about it is minimal...what is your practice?

Again, thank you for your attention (and responses).