Pre-operative traction for fractures of the proximal femur in adults

A brief review of the effects of preoperative skin traction on hip fractures

“…In agreement with Parker and Handoll (2005) other issues need to be addressed to determine whether traction may be an advantage, such as whether traction is beneficial for different types of hip fracture. Attention should also focus upon when patient's pain is at its highest, and whether traction may be beneficial for particular time periods only.…”

A brief review of the effects of preoperative skin traction on hip fractures

“…In agreement with Parker and Handoll (2005) other issues need to be addressed to determine whether traction may be an advantage, such as whether traction is beneficial for different types of hip fracture. Attention should also focus upon when patient's pain is at its highest, and whether traction may be beneficial for particular time periods only.…”

Best Practices for Elderly Hip Fracture Patients. A Systematic Overview of the Evidence

“…However, we found a systematic review of 7 high-quality studies (1,271 participants) that reported no benefits for traction use. 12 There were no differences in pain with or without the use of traction on either the first (RR =1.14 (0.89, 1.46)) or second (RR =1.02 (0.74, 1.41)) postoperative day. 12 One trial indicated that analgesic use increased with preoperative traction use (RR =1.78 (1.16, 2.7)).…”

“…12 There were no differences in pain with or without the use of traction on either the first (RR =1.14 (0.89, 1.46)) or second (RR =1.02 (0.74, 1.41)) postoperative day. 12 One trial indicated that analgesic use increased with preoperative traction use (RR =1.78 (1.16, 2.7)). 13 Further, traction did not improve the ease of fracture reduction (RR =1.02 (0.34, 3.00)).…”

Is Preoperative Traction for Proximal Femoral Fractures Beneficial to the Patient or a Comfort to the Doctor?

“…Recently, Parker & Handoll [14] published the updated results of a meta-analysis of eight randomized trials, including 1,349 predominantly elderly patients. The review update resulted in no important change of results or conclusions: overall, no evidence for a beneficial effect on preoperative traction was provided, nor on relief of pain, fracture reduction, quality of reduction, and time of surgery.…”

A brief review of the effects of preoperative skin traction on hip fractures

“…In agreement with Parker and Handoll (2005) other issues need to be addressed to determine whether traction may be an advantage, such as whether traction is beneficial for different types of hip fracture. Attention should also focus upon when patient's pain is at its highest, and whether traction may be beneficial for particular time periods only.…”

Best Practices for Elderly Hip Fracture Patients. A Systematic Overview of the Evidence

“…However, we found a systematic review of 7 high-quality studies (1,271 participants) that reported no benefits for traction use. 12 There were no differences in pain with or without the use of traction on either the first (RR =1.14 (0.89, 1.46)) or second (RR =1.02 (0.74, 1.41)) postoperative day. 12 One trial indicated that analgesic use increased with preoperative traction use (RR =1.78 (1.16, 2.7)).…”

“…12 There were no differences in pain with or without the use of traction on either the first (RR =1.14 (0.89, 1.46)) or second (RR =1.02 (0.74, 1.41)) postoperative day. 12 One trial indicated that analgesic use increased with preoperative traction use (RR =1.78 (1.16, 2.7)). 13 Further, traction did not improve the ease of fracture reduction (RR =1.02 (0.34, 3.00)).…”

Is Preoperative Traction for Proximal Femoral Fractures Beneficial to the Patient or a Comfort to the Doctor?

“…Recently, Parker & Handoll [14] published the updated results of a meta-analysis of eight randomized trials, including 1,349 predominantly elderly patients. The review update resulted in no important change of results or conclusions: overall, no evidence for a beneficial effect on preoperative traction was provided, nor on relief of pain, fracture reduction, quality of reduction, and time of surgery.…”

A brief review of the effects of preoperative skin traction on hip fractures

“…In agreement with Parker and Handoll (2005) other issues need to be addressed to determine whether traction may be an advantage, such as whether traction is beneficial for different types of hip fracture. Attention should also focus upon when patient's pain is at its highest, and whether traction may be beneficial for particular time periods only.…”

Best Practices for Elderly Hip Fracture Patients. A Systematic Overview of the Evidence

“…However, we found a systematic review of 7 high-quality studies (1,271 participants) that reported no benefits for traction use. 12 There were no differences in pain with or without the use of traction on either the first (RR =1.14 (0.89, 1.46)) or second (RR =1.02 (0.74, 1.41)) postoperative day. 12 One trial indicated that analgesic use increased with preoperative traction use (RR =1.78 (1.16, 2.7)).…”

“…12 There were no differences in pain with or without the use of traction on either the first (RR =1.14 (0.89, 1.46)) or second (RR =1.02 (0.74, 1.41)) postoperative day. 12 One trial indicated that analgesic use increased with preoperative traction use (RR =1.78 (1.16, 2.7)). 13 Further, traction did not improve the ease of fracture reduction (RR =1.02 (0.34, 3.00)).…”

Is Preoperative Traction for Proximal Femoral Fractures Beneficial to the Patient or a Comfort to the Doctor?

“…Recently, Parker & Handoll [14] published the updated results of a meta-analysis of eight randomized trials, including 1,349 predominantly elderly patients. The review update resulted in no important change of results or conclusions: overall, no evidence for a beneficial effect on preoperative traction was provided, nor on relief of pain, fracture reduction, quality of reduction, and time of surgery.…”