Splint Sling and Traction

Splint, Sling &
Traction
Abedoza, Zyrah M.
Alberto, Genella S.
Splint
Splint
• Devices that immobilize and protect
an injured limb or spine
• Can be of any rigid material- plastic

or metal
• Usually along with some padding to

make it comfortable
• They are used before or instead of

casts or traction.
Types of Splint
•Plaster of Paris Splint
•Crammer wire splints
•Fiberglass splint
•Pre-fabricated splints
•Air splints
Fiberglass Splints
Prefabricated Splints
Air Pneumatic Splints
Cramer Wire Splints
Thomas Splints
Bohler Braun Splints
Plaster of Paris Splint
Nursing Care
• Splint should be properly applied, well padded at
Care for POP
bony prominences and at the fracture sites
• Not to expose POP cast to extreme heat
• Bandage of the splint shouldn’t be too tight nor too
/moisture
loose.
• Do not insert anything underneath cast •
• Patient should be encouraged to actively exercise the
Cover when taking bath
muscles and the joints inside the splint as much as
• Come back STAT if there is excessive
permitted.
• Any compression of nerve or vessel should be
swelling , bluish or white discoloration of
detected early and managed accordingly. fingers /toes, numb, excessive pain, crack
• Daily checking and adjustments should be made.

SLI
NG
Elevated Shoulder Immobilizer
Collar-and-Cuff Slings
Standard Arm Slings
Hemi Sling
Nursing Management
• Use mild detergent to wipe down the brace. Air dry.
• Mark the straps with a pen once they are adjusted. This will make putting the brace
on easier.
Tractio
n
Traction
• Uses a pulling force to promote and
maintain alignment to an injured part
of the body.
• Traction is used primarily as a short-

term intervention until other
modalities, such as external or internal
fixation, are possible.
• Whenever traction is applied, counter

traction must be used to achieve
effective results
Traction is applied
1.Reduce a fracture
2.• Reduce dislocation of a joint
3. • Relieve pain
4.• Rest the limb in functional position
5.• Aid in healing of bone.
6.• Overcome muscle spasm and deforming forces.
7.• Correction of soft tissue contractures by pulling them gradually.

Types of
Tractio
01
Skin
Traction
●
SkinTraction
Skin traction is applied by strapping the patient’s affected lower
limb and attaching weights.
● The pulling force is applied by weights that are attached to the

client with velcro, tape, straps, boots or cuffs.
● Weight: No < 2- 3.5kg(4.5- 8lb) – extremity
Limited to 4.5 – 9kg (10 – 20 lb) - pelvic

Adhesive skin traction
SkinTraction
● Maximum weight 6.7 kg
Non- adhesive skin traction
● Maximum should mot exceed to 4.5kg
● Used in thin and atrophic skin.
● Skin sensitive to adhesive strapping.

Buck’s Extension Traction
Hamilton Russell Traction
Bryant’s Traction
Dunlop’s Traction
Head HalterTraction
Pelvic Traction
Nursing Care
• Avoid wrinkling and slipping of the traction bandage and to maintain countertration.
• Proper positioning must be maintained.
• The patient should not turn from side to side.
• Check for signs of irritation or inflammation.
• Removes the foam boots to inspect the skin, ankle the Achilles tendon 3x a day .
• Palpate the area of the traction tapes daily.
• Provide frequent repositioning to alleviate pressure and discomfort.
• Use advance static mattresses or overlays.
• Questioning regularly about the sensation and ask the patient to move toes/foot.
• Assess circulation of foot within 15-30 mins and then every 1-2 hours .
• Encourage the patient to perform active foot exercises every hour when awake.
SKELETAL
TRACTION
Equipments
Steinman pin Denham Pin
Kirschner wire
Balanced Skeletal Traction (BST)
90-90 Degrees Traction
Overhead Traction
Halo-Pelvic Traction
Nursing Management
• Administer medications, as ordered
• Show the patient how much movement is permitted
• Provide comfort measures.
• Maintain the patient in proper body alignment; reposition as necessary.
• Provide meticulous skin care.
• Perform pin-site care, as ordered.
• If signs of infection occur, such as fever or purulent drainage from pin sites, notify the practitioner.
• Encourage coughing and deep-breathing exercises.
• Assist with ordered range-of-motion (ROM) exercises
• Apply elastic support stockings or compression devices, as ordered
• Provide dietary fiber and sufficient fluids
• Ensure a nutritious diet for healing.
• Administer stool softeners, laxatives, or enemas, as needed and ordered.
• Inspect the traction equipment for kinks, knots, or frays in ropes
THANK
YOU !

Splint Sling and Traction

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Splint, Sling &

• Can be of any rigid material- plastic

• Usually along with some padding to

• They are used before or instead of

•Crammer wire splints

• Daily checking and adjustments should be made.

• Traction is used primarily as a short-

• Whenever traction is applied, counter

2.• Reduce dislocation of a joint

4.• Rest the limb in functional position

5.• Aid in healing of bone.

6.• Overcome muscle spasm and deforming forces.

7.• Correction of soft tissue contractures by pulling them gradually.

● The pulling force is applied by weights that are attached to the

● Weight: No < 2- 3.5kg(4.5- 8lb) – extremity

Limited to 4.5 – 9kg (10 – 20 lb) - pelvic

Non- adhesive skin traction

● Maximum should mot exceed to 4.5kg

● Used in thin and atrophic skin.

● Skin sensitive to adhesive strapping.

Steinman pin Denham Pin

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