Preoperative position splint versus skin traction in patients with hip fracture: An experimental study

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

“…It was believed to make the reduction and the following osteosynthesis easier during surgery, helping to reduce the malalignment of the hip fracture preoperatively, particularly in those widely displaced (Duperouzel et al, 2018). However, according to several recent reports (Saygi et al, 2010;Endo et al, 2013;Rasi et al, 2015;Tosun et al, 2018;Merloz, 2018), traction for patients with hip fractures has little to no effect on pain relief or reduction of the fracture displacement, or of healing rate. In addition, it does not seem to reduce the need for analgesic medications (Rasi et al, 2015) nor reduce the risk of pressure ulcers (Merloz, 2018).…”

“…The two main methods of traction are skin and skeletal. 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).…”

“…Femoral fractures are a major healthcare issue worldwide and the current incidence is about 1.6 million per year (Tosun et al, 2018). According to Benzinger et al (2016), this will continue to increase by more than 20% by 2025.…”

“…To prevent complications, promote comfort, reduce pain and ease fracture reduction, the affected hip joint must be maintained in a stable position that assists nurses to provide better care during bed mobilisation for hygiene care. Traditionally the use of traction for intracapsular fractures was thought to reduce pain (Endo et al, 2013), although nowadays this is debated (Tosun et al, 2018). Skin or skeletal traction is still used during the preoperative period in many countries, including Italy, remaining a standard practice in some hospitals (Saygi et al, 2010;Matullo et al, 2016).…”

Level of Perceived Satisfaction with Acute Pain Management among the Patients with Fracture of Long Bones in Teaching Hospital Jaffna

“…Widow, widower, divorced, separated and living together were included in category "others". For the ease of reporting overall satisfaction was categorized into very satisfied (26)(27)(28)(29)(30)(31)(32)(33), moderately satisfied (17)(18)(19)(20)(21)(22)(23)(24)(25), moderately dissatisfied (8)(9)(10)(11)(12)(13)(14)(15)(16) and very dissatisfied (0-7) The participants of our research were given a clear explanation about the details of the research.…”