History of traction

Clinical practice and nursing management of pre-operative skin or skeletal traction for hip fractures in elderly patients: a cross-sectional three-institution study

“…While in the past, traction was commonly adopted in trauma management, it is less used currently, due to the widespread diffusion of early fracture stabilisation in emergency, either by internal or external fixation (Santy-Tomlinson, 2017). Hence, younger surgeons, particularly OTRs, are not as skilled with the application and care of these devices as are experienced orthopaedists, who have likely used traction for long periods as standard protocol in the Emergency Room (Duperouzel et al, 2018;Flynn, 2018). Moreover, a lower use of traction by OTRs may be a direct result of their more recent medical knowledge and surgical training practices.…”

“…During routine practice, in Italian Emergency Departments, as well as in those of other southern European nations (Endo et al, 2013;Saygi et al, 2010;Irajpour et al, 2012;Tosun et al, 2018), the first is used mostly for proximal femur fractures also known as "hip fracture", in particular for intracapsular involvement, while the second is applied mainly for femoral diaphyseal fractures and in some cases also for displaced extracapsular hip fractures, like subtrochanteric. For skin or skeletal traction, the limb is connected to a rope linked to a variable weight, which exerts the pulling force (Flynn, 2018;Santy-Tomlinson, 2017).…”

Creating and Implementing a Protocol for the Management of Patients in Skeletal Traction: A Quality Improvement Project

“…The use of skeletal traction devices to treat musculoskeletal injuries and deformities dates to the time of Hippocrates with the use of wooden rods, levers, and ropes to aid in the reduction of fractures. 1 Skeletal traction systems became more sophisticated over generations with important figures like Russell, Steinmann, and Kirschner credited for advancing skeletal traction systems in the early 1900s. 2 The standard medical treatment of femur fractures at that time was a combination of closed reduction, continuous traction, and splinting.…”

Üst ekstremite iskelet traksiyonları (olekranon)

“…Guy de Chauliac (1300-1368) tarafından da, sürekli traksiyonla kırıkların tedavisi tarif edilmiştir. [1] Günümüzde traksiyonlar hakkında çok fazla kaynağa sahip olmamamıza rağmen, travma cerrahisindeki yeri tartışılmazdır. Özellikle iskelet traksiyonlarını; ağrı kontrolü, redüksiyonu korumak, deformiteyi düzeltmek ve oluşmasını önlemek amacıyla kullanmaktayız.…”

“…Konservatif olarak kırık tedavisi planlandığında, ligamentotaksis özelliğinden yararlanılarak kırık redüksiyonu sağlanabilir ve redüksiyon korunabilir. [1,2] Açık cerrahilerde plak ve osteosentez ile cerrahın kırık alanında oluşturduğu periostun sıyrılması gibi devaskülarizasyon problemi görülmez. Ayrıca, cilt traksiyonunun kontrendike olduğu durumlarda ve traksiyon için 5 kilogramdan daha fazla ağırlık gerekiyorsa tercih edilir.…”