femoral traction splint

Commercially available femoral traction splint kit (eg, Hare, Sager, Ferno-tracTM, KendrickTM), Drugs for analgesia/sedation (eg, fentanyl, morphine, propofol). Here in NY State, whatever type or brand traction splint, CONTRA-Indicated to use for fx leg if possible tib-fib involvement. Use the contralateral, uninjured leg as a landmark if the injured leg is shortened. . Thanks to Dr Karen Greene for her supervision and comments on the project, G. Fenny for data extraction from the MREW database, and Pippa Orr and Kath Johnson for assistance in the literature searches and obtaining articles. M.K. SpeedSplints are constructed of extruded plastic making it waterproof and lightweight. Types: Emergency, Military, Pre-Hospital, Prison, Be the first to know about new products and promotions, Office hours: Mon to Fri 8.00am 4.30pm, Unit 4/62 Borthwick Avenue, Murarrie, QLD, 4172 An example is Buck traction, which is sometimes recommended for patients with hip injuries. Radiolucent design enables X-Rays and Catscans to be taken without . The most common traction splints you'll see in the field are the Hare (bipolar) and the Sager (unipolar). The CT-6 is a Leg Traction Splint designed for Pre Hospital Care and Patient transport, specifically in combat scenarios. No evidence for best methods for managing femoral fractures. The product you're trying to purchase is not available or has an unknown delivery time. The trusted provider of medical information since 1899, Medically Reviewed Apr 2021 | Modified Sep 2022. The unit features three telescoping aluminum poles with two cam locks, a neoprene ankle hitch, an adjustable . Nackenson J, Baez AA, Meizoso JP. Responses came from all regions of the United Kingdom covered by the MREW teams. Prehosp Disaster Med 2017;32:631-5. Femur fractures are rare and traction splints used infrequently in mountain rescue in England and Wales. There are multiple devices which may be used in immobilizing the femur. Traction splints are recommended for all mid-shaft femoral fractures to ensure patient comfort and better alignment of the fracture. This study shows that all teams own one and usually carry it out to casualties when a femur fracture is suspected. A review of guidelines needed; perhaps ambulances do not need to carry a traction splint. Traction splinting should be used along with other pain control techniques to make the patient feel comfortable. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. Five articles discuss traction splint use, either from reviewing the literature or after discussing case reviews (Table). allows elbow motion while maintaining alignment of a humeral fracture. . Responses were obtained from many of the teams who treat the greatest number of casualties, and therefore we suggest this represents a reasonable picture of current attitudes. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. Disclaimers: The authors have no financial ties to disclose. Disposable, No Cross-Contamination, Single-Patient Use. Get more for less. Traction splints may also reduce and/or decrease pain and bleeding due to femur fractures, particularly those that are shortened. This field is for validation purposes and should be left unchanged. Case presentation with literature review based on case studies. Emergency traction splints are used to reduce and immobilize long bone fractures of the femur. Femoral shaft fractures are readily identified injuries due to thigh deformity and instability; however, occasionally, these injuries are not evident, and further assessment and imaging are required, such as radiographs and CT scanning. Traction splints may not be as effective on proximal femur fractures. Mountain rescue team members report few difficulties in use despite their limited practical experience. To determine the incidence of femur fractures in mountain rescue in England and Wales. Transient peroneal nerve palsies from injuries placed in traction splints. The traction mechanism is easy, fast and precise by utilizing an acme threaded polycarbonate rod system. That Is the Question. When you are logged in you get all the correct prices, availabilities and shipping costs for your account agreement. The CT-6 helps relieve patient pain and prevents further damage to surrounding muscle and tissue while reducing the risk of death caused from severed arteries. Traction splinting is the standard of care management of femoral shaft fractures in the prehospital setting given the appropriate patient. Level 4. Midmed Pty Ltd - Medical Equipment & Consumables, Acme screw traction technology super precise, strong and accurate. Traction can overcome muscle spasm. Available in the following: Contact Little detail on femoral fractures. o [ pediatric abdominal pain ] Level 4. Little evidence for use of femoral traction splints. Results: The use of the traction splint for a femur fracture in the pre-intervention stage was found to be underutilised (Median 16%). Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. They require training and may not fit into the package of stretcher, casualty bag, and vacuum mattress. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. 4. Check out our substitute products! In the challenging environment of mountain rescue, traction splints can be difficult to use. MB), Help with Those with prehospital traction splints fitted had fewer units of blood transfused in the first 24 hours and had shorter hospital stays. There is brevity of evidence-based research on their efficacy. Do a fascia iliaca or femoral nerve block: this is a safe and effective way . A case presentation with discussion of literature. Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. The diaphysis of the femur has a normal anatomic alignment that is 5 to 7 degrees from the physiologic axis of the femur, which can be drawn from the center of the femoral head to the center of the knee. This correlates with the questionnaire, in which 44% of team members had not encountered any femur fractures in the past 5 years. A general rule of thumb is 10% of the patient's body weight per fractured femur. After 4 to 6 weeks the knee piece is applied and knee mobilization commenced. Fell walking injuries in Cumbria: a review. An improvement was also noted in staff perception and understanding of the management of femur fractures. Unknown whether contraindications had an adverse effect. A further 4 discussed the history of the traction splint (. This database was searched using the search criteria fractured femur for cases between April 2002 and April 2012. The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further neurovascular injury. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. treatment. BMJ. We found very little evidence supporting the use of prehospital traction splints in the literature. , MD, University of California San Francisco - Fresno. The Scottish mountain rescue casualty study. It can be applied in the field and helps facilitate transport and mobilization, but it should be used only temporarily because of the risk of skin breakdown from the stirrup. An emergency femoral traction splint is designed to apply traction to the lower extremity at the distal end of the fracture, usually to pull the ankle away from the stable pelvis. To investigate attitudes toward traction splints, a questionnaire was designed (. o [ abdominal pain pediatric ] The traction splint is used to secure the leg in a better, near-reduced position. Your Price: Log in List Price: $173.99 EA Log in for availability View Product Details More info Compare Item #: SI006P Replacement Traction Ankle Strap, Pediatric By: DICK MEDICAL SUPPLY A Descriptive analysis of traction splint utilization and IV analgesia by emergency medical services. Observation study of 5 cases, no follow-up. doc files. Immobilization of midshaft or distal femur fractures is thought to decrease pain for the patient during transport and to decrease the amount of bleeding and hemorrhage. Perhaps the rescuers believe they should be using the traction splint for every fracture, but in practice, despite believing them to be useful, considered it to be an unsuitable tool for the situation at that specific time. Following the intervention period, however, traction splint use increased significantly (Median 50%). Greene is Medical Officer for Mountain Rescue England and Wales and a member of The International Commission for Alpine Rescue Medical Commission. This could easily cause the victim to bleed to death. Rescue Essentials offers the STS Slishman Traction Splint, a fully adjustable traction splint for patients with suspected femoral fractures. To obtain the exact incidence within mountain rescue, the mountain rescue database would need to include the definitive diagnosis made after hospital assessment and radiological investigation. Speedsplint Femoral Traction Kit FASSM200: Fast and easy-to-apply splint for emergency use when temporary immobilization of the femur (upper leg/hip area) is required Easy to monitor the injured body part after application Effective for sea and heavy rain rescues Buoyant and features drain holes Permits complete padding procedures for effective immobilization Can be worn during X-ray . ABSTRAL, Actiq, Duragesic, Fentora, IONSYS, Lazanda, Onsolis, Sublimaze, SUBSYS, ARYMO ER, Astramorph PF, Avinza, DepoDur, Duramorph PF, Infumorph, Kadian, MITIGO, MORPHABOND, MS Contin, MSIR, Opium Tincture, Oramorph SR, RMS, Roxanol, Roxanol-T. By the end of this session the participant will be able to: Describe the indications for femoral traction splint application. It is skewed among teams, however, with some teamsthose in North Wales, the Lake District, and Yorkshire in particularseeing femur fractures more frequently than the others. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. Ellerton et al, as part of the International Commission for Mountain Emergency Medicine. Check for distal neurovascular status (eg, capillary refill, distal sensation, toe flexion and extension). However, rescuers have a positive attitude toward traction splints and perceive few disadvantages to their use. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. However, the database is a record of events whereas the questionnaire responses are estimates and perceived ideas. Estimates on femur fracture encounters and on use of traction splints. Learning objectives. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Current literature evidence suggests that traction splints may be no more beneficial than simple splints in the treatment of femur fractures. Curious were the National standard guidelines are located? The basic concept is to overcome deforming forces around the fracture. Femoral traction splints are used to temporarily stabilize and possibly reduce femoral shaft fractures. However, this group had lower ISSs, and we cannot attribute these outcomes to the use of a femoral traction splint. Use for phrases No details of follow-up, complications, and outcomes. To splint the bone, a hard object is tied to the edge of the leg. DOI: https://doi.org/10.1016/j.wem.2015.01.006, Corresponding author: Harriet Runcie, MB, ChB, North Cumbria University Hospitals NHS Trust, Emergency Department, West Cumberland Hospital, Whitehaven, CA28 8JG, North Cumbria University Hospitals NHS Trust, Emergency Department (Dr Runcie), and Emergency Medicine (Mr Greene), West Cumberland Hospital, Whitehaven, UK. Admit I keep hearing debate if contra-indicated when "open" femur fx, due to possibility of infection, other side of the coin is to use, and have antibiotics for possible . The CT6 Femoral Traction Leg Splint is a compact, powerful, reliable device that helps relieve pain and prevents further damage to surrounding muscle and tissue while reducing the risk of death caused from severed arteries. After 2 years of development, the next-generation CT-7 is finally available. treatment of a femoral fracture; overbody or lateral skeletal traction. Original use of the traction splint, first popularized by Dr. Thomas during the First World War, included the use of the device for femur fractures resulting from gunshot wounds, which by definition are open fractures. Simpler methods of immobilization may prove safer and equally efficacious. It is primarily used on patients with mid-line femur fractures. Assess distal pulses both before and after splint application. *Some items in this product are in promotion. Traction splints will actually help splint the leg to prevent movement and the traction will also help reduce the possibility of nerve damage/vascular damage while also offering pain relief for the patient. Ipsilateral fracture(s) of the ankle, foot, and/or lower leg. We suspect that an incidence of 9.3 femur fractures in the England and Wales mountain environment per year is an overestimate. True incidence could only be established by recording casualty details and correlating with the results of radiological investigation. The following video has been prepared by the Queensland Ambulance Service and demonstrates the correct application of the CT-6 Splint on an adult patient with a femoral shaft fracture. Ninety-three percent of team members reported having had training on traction splint use within the past year, with 75% of those within the last 6 months. Traction Splints - Applying the KTD Traction Splint. This is the reason why it is vitally important to make a traction splint for a fractured femur as quickly as possible. Whole leg, air splint, vacuum splint, cardboard or a suitable commercially available splint. use of a fracture table increases risk of internal rotation deformities when compared to manual traction. Closed treatment with traction, splinting, and casting may be temporary treatment or definitive treatment . Further research is required to compare traction splints with simple splints and to evaluate their contribution in relieving pain, hemorrhage, other complications, and outcome for patients with a fractured femur. We use cookies to help provide and enhance our service and tailor content. Of 4513 paramedic calls over a year, 5 had suspected femur fracture. The use of the device minimizes pain, pulmonary complications, blood transfusions and neurovascular complications to the limb [ 1 ]. This study suggests a mountain rescue team in England and Wales will encounter a casualty with a femur fracture on average every 6 to 7 years. Intramedullary nailing of the femur: current concepts concerning reaming. A microadjustment system . Femoral nerve blocks are effective for pain management and have less side effects than systemic analgesics Placing the patient in a splint traction until your orthopedic colleagues arrive may improve alignment and improve blood flow Read More Orthobullets Femoral Shaft Fracture Rosen's Emergency Medicine Concepts and Clinical Practice (link) The focus of prehospital trauma care is rapid stabilization, short scene times, and safe expeditious transport to an appropriate facility. Jones R. Correspondence: Treatment of Fractures of the Thigh. Some of these include: The development of a deep vein thrombosis Mountain rescue teams have infrequent opportunities to use a femoral traction splint. That Is the Question, http://www.cebm.net/category/ebm-resources/tools/, View Large The femoral nerve The heads of the quadriceps muscle To prevent fragments of bone from damaging these structures, and to prevent the bone from moving out of place, a splint is applied to the femur. Forty-four percent of rescuers also reported not having encountered a fractured femur in the past 5 years, so thinking back longer than that to recall what was actually done is difficult and likely to be unreliable. Of those 5, 2 had traction splints fitted successfully. This is likely to be a result of the teaching they receive and the practice advised in current guidelines, rather than from personal experience. Can you use traction splint open femur fracture? The splint can go with the patient to X-Ray or even surgery and be thrown out after. Runcie H, Greene M. Femoral traction splints in mountain rescue prehospital care: to use or not to use? Application of a traction splint, however, is a somewhat uncommon, and therefore potentially unfamiliar . verify here. Of these, 4 were excluded: 2 because they discussed traction splint use as a definitive treatment before the introduction of femoral nailing or in children, and a further 2 because they were designated as level 5 quality according to the evidence-based medicine tool, lacking detailed information on where the opinions and stated facts within the articles had originated. Use about 10% of the patient's body weight or up to about 7 kg (15 pounds). During the 10-year study period, 93 casualties with a suspected femur fracture were identified (9.3 per year). In the context of mountain rescue and other situations of prehospital care, it is reasonable to ask whether other forms of splint may be as effective or superior to the femoral traction splint. There are some precautions to be taken before using traction splints. Femur fractures are rare, and owing to contraindications traction splints are rarely used. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. A microadjustment system allows for precise traction application and adjustment. o [teenager OR adolescent ]. Enter search terms to find related medical topics, multimedia and more. Femur fracture; External Links . This helps reduce bleeding. This study was designed to investigate the strength of literature supporting the use of femoral traction splints and the attitudes of rescuers who use them. Ideally this should be a femoral nerve block; Measure the . The incidence of these fractures in mountain rescue in England and Wales has not been previously reported. Most importantly, the Hare traction splint was more compact, easy, and effective for a femur fracture. Cost Effective For Hospitals and EMS. Femoral fractures should be surgically fixed within 24-48 hours, although sooner if an open fracture. The Thomas splinta necessary tool in the management of battlefield injuries. No trials demonstrate that traction splints reduce morbidity or mortality, but a number describe complications resulting from their use. Diseases of the Hip, Knee and Ankle Joints With Their Deformities: Treated by a New and Efficient Method. It was recorded in the database that 13% of the suspected femur fractures had been treated with a traction splint, 17% with a simple splint without traction, and 70% without any kind of limb splint. Immobilize the leg: either with a posterior splint or simply a pillow under the thigh. If the patient is to be transferred to another hospital, the leg should be immobilised in a Thomas type splint (if available) or a backslab. However, in prehospital care, treatment is determined by clinical findings and thus this represents real-world practice. Flusso, Swing Valve Technology and PEEP Stabilization are trademarks used under license by McArthur Medical Sales Inc. US and International Patents Pending, Fast & easy to apply to upper and lower extremities, Compact design allows for efficient use of limited storage space, Adjustable for straight leg with a knee injury or lower leg injury, including foot and ankle. Copyright 2022 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. Mar 4, 2020. The reasons for the discrepancy between this perception and the database are not known. CT7 Femoral Traction Splint SKU: F.1126629 After 2 years of development, the next-generation CT-7 is finally available. Lightweight and Compact - The STS weighs only 0.60kg and is 58.5cm W x 7.7cm H in size. application of traction splints for femur fractures (open or closed) is likely not to impact patient outcome. Consider traction splint Little evidence to support its use; Theoretical benefit of traction splinting is reduction in bleeding and improved pain; Sager and Hare splints are commonly used by EMS providers; Buck's traction used by ortho; Disposition. There are several different types of commercially made traction splints available. The following video has been prepared by the ECI and demonstrates the correct use of the Donway Femur Traction Splint. It is possible to insert these instruments into the femoral and bifurcated shafts of the femur and tibia. DOI: 10.1016/j.wem.2015.01.006 Corpus ID: 34716314; Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? Understand the process for application of a femoral traction splint. Thomas splint, calcaneus fracture, and compartment syndrome of the foot: a case report. Use to remove results with certain terms It has been tested under the harshest conditions around the world by an array of first responders and medics. The number of femur fractures in mountain accidents has been identified in other literature. Femoral neck fractures can be occult: if patient has significant pain or cannot ambulate, do advanced imaging. The femoral shaft excludes commonly fractured parts of the femur such as hip and supracondylar fractures. Traction splinting is a useful tool for femur fracture alignment, increasing arterial blood flow, decreasing pain, and reducing the risk of further injury from fractured bone fragments. The CT-7 femoral traction splint has been simplified by removing straps, velcro and all loose ends. This product is currently unavailable due to the overwhelming demand caused by the coronavirus (Covid-19) pandemic. Log in to see the inventory. Sign in to see your prices and availability that match your account. Speedsplint, Femoral Traction Kit, Item #14713 $ 107.87 Add to cart Add to wishlist SKU: 14713 Category: Speed Splints Description Fast and easy-to-apply splint for emergency use when temporary immobilization of the femur (upper leg/hip area) is required Easy to monitor the injured body part after application Image source It has been designed for pre hospital and patient transport. Update your shipping location to get accurate prices and availabilities, You must configure your product to be able to add it to your cart. We would suggest the use of a traction splint is reasonable when there is a suitable indication and no contradictions. Ensure that the stretcher or table is long enough to support the distal end of the device (eg, 20 cm [8 inches] beyond the ipsilateral foot). This study has relevance to all those in prehospital care and in particular to those who practice wilderness medicine. The main problem in prehospital or wilderness care is that the person with the femur fracture also needs extraction. Femur fractures are uncommon in mountain rescue, with an incidence of suspected femur fractures on scene at 9.3 a year. Pre-hospital providers often use commercial traction splints which have a rigid element with straps to attach to the patient and then apply traction using cords and tension devices. The reason may be the frequency of calls and the nature of the terrain, with these teams operating in high mountainous environments a long way from habitation yet also operating in national parks with high numbers of visitors. Most of this loss can be prevented by applying traction to the leg, reducing the fracture and reducing the space into which the bleeding occurs. Femoral traction splints are used to temporarily stabilize and possibly reduce femoral shaft fractures. Two people are required for effective application of the traction. Traction splints are widely used for immobilisation of fractures of the lower limb. Use adequate analgesia (usually IV opioids) because traction splinting of femur fractures is painful. All rights reserved. No follow-up or review of outcome. Traction splints provide a counter-pull to reduce the size of the thigh and realign the fractured femur. or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. The Hare splint is not effective with proximal femur shaft fracture because the ischial pad may rest directly under the fracture. These were looked at to assess whether they helped disprove the hypothesis that traction splints reduce morbidity and mortality of femur fractures. Lie the patient supine with the injured lower extremity supported. Accessed October 2014. The broken femur bone is dangerously close to the femoral artery and can easily sever it. Traction splints interfere with many litters, are by design only useable for 1 type of injury, and require a significant amount of highly specific training. PO Box 508, MORNINGSIDE, QLD 4170. The first femoral traction splint was designed in 1875 by Hugh Owen Thomas for the treatment of chronic joint problems, in particular tuberculosis of the knee. Mountain Rescue England and Wales (MREW) maintains a database of all calls undertaken by mountain rescue teams within England and Wales. Practical Prehospital Care: The Principles and Practice of Immediate Care. The Oxford Centre for Evidence-Based Medicine describes the quality of evidence in levels from 1 to 5. Nevertheless clinical suspicion of a fracture in the prehospital setting demands treatment for the suspected injury. Traction splints are used to keep a bone in a nearly-reduced position in a fracture. Please confirm that you are a health care professional. Conclusions based on only 5 cases. Prehospital midthigh trauma and traction splint use: a retrospective review of a trauma registry (SAEM Abstract). Definition of Traction in the Treatment of a Femur Fracture The main goal of a traction splint is to provide stability to a femur fracture. We did, however, manage to capture all areas of England and Wales covered by the MREW teams, as teams are collected into groups to cover different areas and we obtained responses from all groups. [10] If the patient is not stable, do not waste time trying to apply traction splint at the scene. Acad Emerg Med. In this survey 44% of team members reported that they had not encountered a femur fracture or used a traction splint in the past 5 years. Admit Typically requires ORIF; See Also. Prehospital midthigh trauma and traction splint use: recommendations for treatment protocols. The result from the survey assessing attitudes toward traction splints is the summary of the opinions of only 164 mountain rescue individuals. This product can only be purchased in multiple of, {{product.unitOfMeasureDescription || product.unitOfMeasureDisplay}}, Combination of Emergency Shower and Eyewash Stations, Water Pressure and AFFF Foam Extinguishers, Training on the Safe Use of Platforms and Aerial Work Platforms. Traction splints are used infrequently; 13% of the suspected femur fractures were treated with traction. Femur fracture immobilization with traction splints in multisystem trauma patients. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. Ensure adequate traction is applied by using the traction scale if available on the specific device. At the present time there are no studies on which to base practice. Femur Fracture Splinting Femur fractures can result in the loss of 3 units of blood in the soft tissues. This site complies with the HONcode standard for trustworthy health information: The rst femoral traction splint was designed in 1875 by Hugh Owen Thomas for the treatment of chronic joint problems, in particular tuberculosis of the knee.1 During the First World War, Dr Jones introduced femoral traction splints into military practice.2 They became the Copyright 2022 SPI Health and Safety. Level 4. Midmed is committed to embracing diversity and eliminating all forms of discrimination. SPEEDSPLINT FEMORAL TRACTION KIT (F200) X-ray penetrable One size fits all Includes 2 self-adhesive foam groin pads Velcro traction straps Compact design allows for efficient use of limited storage space SPEEDSPLINT ADJUSTABLE LEG SPLINT (L300A) X-ray penetrable Adjusts to fit all heights Flat design allows easy storage From field to hospital: When applied, Sager Splint model SX404 is radiolucent to all areas of a femoral fracture. Position any leg support straps as directed (eg, 2 above the knee and 2 below). Please contact customer service at 1 855 774-7227 for more information. Wilderness Environ Med 2015;26:305-11. It contains details on the incident, the casualtys injures, and treatment. While other traction splints are contraindicated with lower leg injury or amputation, the STS's unique design allows the ankle strap to be alternately positioned proximal to the calf. Copyright 2022 Midmed Medical Suppliers. Children that sustain femur fractures prior to walking age should be screened for non-accidental . Thomas splint: Thomas splint with a Pearson knee piece attached to the splint. A questionnaire was sent out to all MREW teams to assess attitudes toward traction splints. Hare Traction Splint (Bipolar Traction Splint) February 14, 2014. Use OR to account for alternate terms Office: 519-622-4030 CT-6 Splint. They come made for left and right legs . night-time surgery. All rights reserved. Limited available literature. image, Download .docx (.08 The Thomas splint: questionable boast of an indispensable tool. Ensure adequate traction by frequently assessing pain relief and length of extremity compared to uninjured side. We advocate the use of a femoral traction splints but recognize that other splints may also be appropriate in this environment. A traction splint most commonly refers to a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rod (s) to mimic normal bone stability and limb length, and a mechanical device to apply traction (used in an attempt to reduce pain, realign the limb, and minimize vascular and neurological complication) to the limb. Stabilize the device against the pelvis and the ankle as directed by the product instructions, including the proper sequence of these steps. No information on search criteria and inclusion/exclusion of studies. The survey assessed attitudes toward the perceived benefits and problems of using a traction splint in this environment using a numerical rating scale, where 1 was not beneficial/not problematic and 5 very beneficial/very problematic. An adult unit is not adjustable for . Recognise the complications associated with the use of femoral traction splints. This could be a stretcher, a rod, or a piece of wood. There are 2 types of Thomas splint frame. The Thomas splint supports the leg and balanced traction is applied. In the end, I'm not saying that traction splinting isn't without benefits. No concerns were identified and it was deemed further review was not required. The rescuers, of course, should not. You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password. We apologize for any inconvenience caused. 2015 Wilderness Medical Society. In the hospital, weighted traction splints may be placed on the patient. Steps 1 Check the ABC's: Airway, breathing and circulation. A splint is a medical device used to prevent an injured body part from . 38% of patients with traction splints fitted had contraindications. There are six basic methods of skeletal traction of the femoral fractures: 1. Available at: http://www.cebm.net/category/ebm-resources/tools/. Image, Download Hi-res In my mind, this is a bit too simplistic. Review of literature based on case studies. The splint is x-ray penetrable and adjusts to fit most heights. Wood et al. Oxford Handbook of Expedition and Wilderness Medicine. Traction splint is a useful emergency tool to align the femur fracture better, increase arterial blood flow, decrease pain and spasm, and reduce the risk of further injury from fractured bone fragments. However, in keeping with the International Commission for Alpine Rescue (ICAR) guidelines. Severity and pattern of injury in survivors of alpine fall accidents. This helps reduce blood loss, alleviate pain and minimize further injury. The Hare traction splint applies a distraction force through an ankle stirrup and can provide effective immobilization for femoral shaft fractures (Fig. 6- 28 TRACTION SPLINTING NOTE: A traction splint is the splint of choice and is to be used only for a painful, swollen, deformed mid-thigh injury with NO lower leg injury. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. 19.19 ). This is the first work to perform follow-up and look at outcomes. When asked about use, 68% of rescue team members who responded reported using a traction splint for every suspected femur fracture, 32% said they used a traction splint selectively and decisions were based on the type of fracture, the other associated injuries, availability of splints, and other forms of analgesia. The CT-7 femoral traction splint has been simplified by removing straps, velcro and all loose ends. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. associated with bone or joint disease. Please enter a term before submitting your search. These injuries were identified by the mountain rescue team members and included all clinically suspected femur fractures. to splint an isolated mid-shaft femoral fracture What does an isolated mid-shaft femoral fx mean? Follow the instructions and recommendations for the specific product being used. When people suffer a severe femur fracture, such as that in an auto accident, there are major complications which might develop. Remove the traction splint: this can often result in worsening injury. They became the standard definitive treatment for femur fractures until the development of femoral nailing in the 1950s. It is prudent to identify patients at higher risk of developing complications of immobilisation. It is primarily used on patients with mid-line femur fractures. Midmed welcomes all people, irrespective of ethnicity, lifestyle choice, faith, sexual orientation and gender identity. @article{Runcie2015FemoralTS, title={Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? Toll Free: 1-800-996-6674 Hearns. Limited available literature. First, a traction splint stretches out the powerful muscles of the thigh (and the surrounding fascia), which compresses blood vessels embedded in the muscles and holds the bone ends in place. Femoral shaft fractures should be put into skin traction (10% of body weight) to help with pain management. We present a case of skin complication following traction splint for spiral fracture of femur. Most isolated cases can be treated with an antegrade intramedullary nail *, which have around a 98% union rate and a low rate of post-operative complications. View our range of top-quality products at discounted prices. Fax: 519-622-1142, document.write(new Date().getFullYear()); | McArthur Medical Sales Inc. It is of interest that only 13% of cases recorded in the database were treated with a traction splint and 70% with no splint at all, but in the questionnaire most rescuers reported always using a traction splint for suspected femur fractures. Immobilization and splinting in mountain rescue. This is the location linked to your SPI customer account. Traction splints are useful in the treatment of closed and open . CT-EMS Traction Splint with Blue Carrying Bag, Civilian Version, Pediatric/Adult, Orange Straps By: FARETEC, INC. To review the literature for evidence on the use of traction splints in prehospital medicine and test the hypothesis that femoral traction splints reduce morbidity and mortality in patients with a fractured femur. Level 1 evidence is a systematic review of randomized, controlled trials and level 5 is expert opinion. A summary of the 5 articles in the literature reviewing traction splint use, https://doi.org/10.1016/j.wem.2015.01.006, Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? One of the main initial treatments for this injury is application of some sort of traction splint, designed to apply distracting force between the lower leg and the relatively "fixed" base of the pelvis, which pulls the displaced and shortened femur back into a more anatomical position. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Apply longitudinal traction on the ankle to straighten and lengthen the shortened leg to the length of the contralateral leg. The Donway Traction Splint. The most recent article published is an abstract and poster from a conference. Of these 141 articles, we identified 17 plus 1 conference abstract relevant to the hypothesis. bunglegoose 1 yr. ago Your delivery address has an impact on prices and inventories. Buck's traction is a type of skin traction that is widely used for femoral, hip, and acetabular fractures, which are fractures in the socket portion of the "ball . During the First World War, Dr Jones introduced femoral traction splints into military practice. For adults, the American Academy of Orthopedic Surgeons recommends gentle traction to a maximum of 7kg (15 pounds) per fractured femur (14kg (30 pounds) for a bilateral fracture. Methods: A retrospective descriptive study conducted over a five and a half year period (1 January 1996 to 1 July 2001) on children presenting with femoral shaft fracture to a Paediatric trauma centre. However, the mean age of casualties in the database was 38, and the total number of cases older than 70 years was 11. The Fare-Tec CT-6 splint. Relevant articles were critically reviewed to identify the evidence base for the use of femoral traction splints. Already have an account with us? Sager Traction Splints are indicated in 93% of all femoral fractures (treats mid-shaft and proximal third fractures).As such, they have a much broader range of application and use than other traction splints. Femoral Traction Splint. Conclusions based on only 4 case studies. Traction splints are a temporary form of immobilization, as prolonged use of traction splints can cause pressure sores. It has a smaller footprint and no longer extends beyond the patients foot. Level 4. MB), Help with Self-Contained Breathing Apparatus (SCBA), Cleaners and Disinfectant for Respirators, Lamps and Accessories for Mining Operations, Confined Space Entry and Standby Attendant Training, Competent inspector: Inspection of fall protection equipment, Respiratory protection: Carry out qualitative fit tests, Respiratory protection: Carry out quantitative fit tests, Inspection, maintenance and certification, Field iD: For the efficient management of your PPE. Femoral traction splints are used to stabilize femur fractures prior to definitive care (eg, operative fixation). There is no need to worry about lost expensive splints. The original evidence promoting traction splint use comes from Dr Henry Gray, who, in a book about war wounds written in 1917, noted that the death rate from gunshot femoral injury was around 80% but that during one battle the death rate fell to 15% when most casualties were fitted with the Thomas splint. Thank you to the members of the MREW teams for completing the questionnaire. It has been tested under the harshest conditions around the world by an array of first responders and medics. It is unlikely any femur fractures were clinically missed by the rescue teams; however, other soft tissue thigh injuries could have been mistaken for a fracture and included in the data, which records the clinical diagnosis made on scene. Objective: To describe the use of traction splinting in children with femoral shaft fracture and to determine if timing of traction splinting application effects outcome. docx files, Download .doc (.06 It maintained bipolar traction with two steel rods on both sides of the limb. Fixed ring: the shorter side goes medially; Split ring: the shorter side goes medially, and the buckle should be over the outer thigh . It's gonna hurt the patient like crazy when you first place it but after a short time it will help. For femur fractures, using a splint that applies consistent traction has several benefits. Oxford Centre for Evidence-Based Medicine. 2014;21(suppl 1):S75S76. Responses were received from 26 of the 51 teams, a total of 164 individuals. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. The company that makes the Hare traction splint gives the sole indication as a suspected femur fracture, and the sole contraindication as an open femur fracture. To investigate the attitudes of rescuers toward the use of femoral traction splints. Want to receive your item sooner? The Thomas splint causing urethral injury. International Commission for Mountain Emergency Medicine. All rights reserved. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. A femoral traction splint is a mechanical device that uses traction to align and provide stability to femoral fractures. It is a common standard of care practice to immobilize open and closed fractures of the femur based on current PHTLS and ITLS guidelines. It has been made more rigid and indestructible with thicker carbon tubes. That is the question. This was a commonly used traction apparatus. From the 1980s onward, femoral nailing became the definitive treatment and traction splints were only used before surgery. if . The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further neurovascular injury. Skin traction is less invasive than skeletal traction and uses splints, bandages, and adhesive tapes positioned on the limb near the fracture and is applied directly to the skin. Published by Elsevier Inc. All rights reserved. Devices supposed to only be used for Femur fx. To update your cookie settings, please visit the, Finger and Toe Temperature Responses to Cold After Freezing Cold Injury in Elite Alpinists, Norovirus Outbreaks Among Colorado River Rafters in the Grand Canyon, Summer 2012, Prehospital Trauma Life Support Committee of the National Association of Emergency Medical Technicians with the Committee on Trauma of the American College of Surgeons. The Mountain Rescue England and Wales database was searched for cases of suspected fractured femur occurring between 2002 and 2012, a questionnaire was sent to all mountain rescue teams in England and Wales, and a literature review was performed. Although traction is beneficial to femur fractures, it can be harmful to fractures or ligament injury distal to the femur fracture. In addition, they have to be carried to the scene and can only be used for a single type of injury. Femur fractures are rare within mountain rescue. Advise femoral traction splint or simple vacuum mattress/box splint. A generalized look at splinting. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis . For more information, please contact our customer service via chat or by phone at 1-866-861-8111. It was not possible to separate neck of femur fractures from shaft of femur fractures in the database search, and these would not normally be treated with a traction splint. Thus, given that neck of femur fractures are usual in older people, it is likely on average only about 1 case per year was a neck of femur fracture. From the questionnaire it was evident that team members thought of the splint as a useful tool, believing it to reduce the complications of a femur fracture, and they reported that generally they did not have any difficulties in using traction splints. there are no other injuries to hip and legs; the fx is in the middle of the femur Protocols will vary, but national standard is NO traction on an open fracture. fracture comminution. Spano S, Campagne D, Cagle K, Weichenthal L, Young M, Anastopoulos PH. The results were generally positive, with most team members perceiving suggested benefits at 5 (very beneficial; The literature search initially found 141 articles. We failed to identify evidence that supports the hypothesis that traction splints reduce morbidity or mortality. Its compact design allows for efficient use of limited storage space. Traction splints may be no more effective than other methods of splinting in prehospital care. Slishman Traction Splint - TacMed Solutions Home / All Products / Slishman Traction Splint Slishman Traction Splint Sku : STS SPLINT $194.40 Add to Cart Request a Quote You May Also Like SAM Splint - 36" $20.12 ActiSplint $7.98 HALO Chest Seal - Vented From $16.56 TacMed Tracheal Hook This study has been discussed with the U.K. NHS Research Authority Research Ethics Committee. Remove the traction splint as soon as possible when definitive care is available. There are no published trials demonstrating that a traction splint reduces bleeding and other complications of a femur fracture. The estimated incidence of femur fractures within mountain rescue is based on clinical suspicion of a fracture. 1914; Dec 19:1086-1087. 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