Effectiveness of the Taut-Line Hitch Knot in Reducing and Splinting Lower Extremity Fractures

Abstract

Techniques for single-provider reductions are valuable methods for provisional stabilization of fractures. In the setting of a lower extremity fracture, these techniques often use stockinette or kerlex to suspend an extremity while a reduction maneuver is performed, cast padding is applied, and a plaster splint is placed with subsequent molding to maintain reduction. Obtaining and maintaining a suitable amount of tension to the soft material while securing the limb to the stretcher or hospital bed continues to make these reduction maneuvers difficult to perform. This challenge is exacerbated in the obese patient population. As such, we describe the adaptation of the taut-line hitch knot in the setting of single-provider reductions. This knot type permits adjustable tensioning of kerlex or stockinette while suspending a limb when force is applied perpendicular to the direction of tension. This facilitates positioning and maintenance of limb suspension during reductions of unstable lower extremity injuries.

The Efficacy of Rehabilitation Nursing Interventions on Patients with Open Lower Limb Fractures

“…Although aggressive surgical strategies will be adopted, limb dysfunction will still occur in some patients. Moreover, the high risk of infection and strong traumatic stress response of patients was also associated with this kind of fracture [ 16 ]. Therefore, it is the common pursuit of orthopedic researchers to take effective measures to promote the prognosis of patients with lower limb fractures.…”