Application of a pulling force to a fractured limb for stabilization and pain relief.
Indications
- • Femoral shaft fracture (Thomas splint)
- • Pre-op temporary immobilization
- • Reduction of dislocations
Contraindications
- ⚠ Skin damage at traction site
- ⚠ Fracture site instability precluding pull
Equipment
- • Traction kit — cord, weights, pulleys
- • Thomas splint / skeletal traction pin
- • Skin traction adhesive strips (peds)
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Skin traction < 5 kg; skeletal for > 5 kg or prolonged.
Immediate complications
- ⚠ Peroneal nerve palsy
- ⚠ Skin damage
Delayed complications
- • Pin-site infection
- • DVT
Recognition
- • Foot drop
- • Redness at pin
Initial management
- • Reposition; antibiotics
Prevention
- • Correct application
- • Regular checks
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
