Professional Documents
Culture Documents
Affection of the hip and femur for For post poliomyelitis with use of foam instead of plaster.
children below 3 years old residual paralysis of the hip and For post poliomyelitis with
knee residual paralysis of the hip and
knee
B. NON-ADHESIVE
Use of canvass, slings, leathers, straps with buckles, laces and ribbons.
Traction is the act of pulling and drawing in an opposite direction which is associated with counter
traction.
INDICATIONS:
1. To lessen muscle spasm
2. To reduce fracture
3. To provide immobilization
4. To maintain alignment
5. To correct or prevent deformities in the case of arthritis patient with flexion contraction
6. To help lessen the curvature of the spine before correction surgery
PREPARATION:
1. Check/verify the doctor’s order to know the patient, the site of affection, and to check the
weights to be used.
2. Inform the patient about the need and purpose of the procedure to allay patient’s anxiety and to
elicit cooperation.
3. Preparation:
a. Identify the different parts of the Orthopedic bed
-BALKAN FRAME:
4 vertical bars
2 horizontal bars
1 diagonal bar
2 straight or cross bars
1 curved bar
-FIRM MATTRESS
-FRACTURE BOARD
b. Gather equipment needed for BST:
Thomas splint
Pearson’s attachment
Rest splint
3 cord/ropes/sashes
5 slings
5 safety pins/paper clips
3 pulleys
Weights
-Traction weight-10% of patient’s weight
-Suspension weight-50% of traction weight
Steinman’s pin holder
Foot board
Overhead trapeze
4. Assemble the Thomas splint and Pearson’s attachment
Estimate/measure the length of the thigh to ensure that the screw of the Pearson’s is in
line with knee.
The Pearson’s attachment must be under the Thomas splint.
5. Mount the Thomas & Pearson’s on the rest splint.
6. Apply the slings.
Start from the medial side to the lateral side, secure both ends together, fan fold nicely
on the lateral aspect and secure with a pin or clip.
Observe the Principles in Sling Application:
a. Not too tight and not too loose
b. One inch distance in between the slings to promote aeration or ventilation.
c. Popliteal area and heel portion should be free from any slings
d. Smooth and right side should come in contact with the patient’s skin to avoid
friction and irritation.
e. Two longer and wider slings for the thigh portion (Thomas) and the three for the leg
area (Pearson).
7. Tie the thigh rope (shortest) on the medial upright of the Thomas with a slipknot and secure the
other end of the rope at the screw of the Pearson.
8. Insertion of the apparatus under the affected extremity.
Three manpower needed:
1st person to insert the whole apparatus under the affected extremity.
2nd person to perform manual traction to be released after the attachment of the
traction weight on the third pulley.
3rd person to support/lift the affected extremity.
This is to be done simultaneously at the count of three.
Instruction to the patient:
Hold on to the trapeze, flex the unaffected leg and at the count of three (simultaneously with the
insertion of the apparatus) will lift the buttock of the affected side.
9. Check if the principles of sling application are followed; check the alignment; and make the
necessary adjustments.
10. Application of the traction weight.
One end of the traction rope (longer rope) is attached to the Steinman pin holder with a
slipknot; the other end is to run along the third (3 rd) pulley. Attach the prescribed
weight.
11. Application of suspension weight.
The loose end of the thigh rope is attached to the lateral aspect of the ischial ring with a
slipknot
Attach suspension rope (longest) at the mid-part of the thigh rope with a slipknot.
Insert the end of the suspension rope to the 1 st pulley
Insert the suspension weight and hang it on the first pulley
Insert the suspension rope to the second pulley then pass it under the rest splint,
outside the traction rope, and tie it to the Thomas splint with a clove hitch knot and tie
it again to the Pearson’s attachment with another clove hitch knot.
Consume the remaining rope.
12. Remove the rest splint.
13. Apply foot board (using ribbon knot) to prevent foot drop.
14. Check the efficiency of the traction by swinging the patient to and fro, side to side. (Give the
patient the same instruction during the insertion of the apparatus)
15. C heck the Principles of Traction:
Patient should be in dorsal recumbent position.
Line of pull should be in line with the deformity
o 1st pulley must be in line with the deformity
o 2nd pulley must be in line with the knee
o 3rd pulley must in line with the 1st & 2nd pulley
Traction should always be continuous- importance of manual traction should be
emphasized.
Avoid friction: (you have to W O R K)
W-weight should be hanging freely
O-observe for wear and tear of rope and bags
R-rope should be running along the groove of the pulley
K-knots should be away from the pulley
Provide counter traction-patient’s body weight will serve as the counter traction.
REMOVAL OF TRACTION
1. Apply the rest splint
2. Hang suspension weight on the 1st pulley
3. Completely remove the suspension rope
4. Loosen the thigh rope on the lateral aspect of the ischial ring and secure the loose end on the
screw.
5. Apply manual traction on the Steinman pin holder.
6. Remove the traction weight
7. Remove the traction rope from the third pulley and secure the loose end on the rest splint with a
clove hitch knot; another knot on the Thomas and Pearson attachment.
MOLD
Used for splinting the affected part of the body wherein there is an open wound, inflammation, abrasion,
swelling, or infection.
FUNCTIONS OF CAST
1. Promote healing and early weight – bearing
2. Immobilization
3. Correct or prevent deformity
4. To obtain a mold of a limb to serve as a model in making an artificial limb
5. Support, maintain and protect realigned bone
CONTRAINDICATIONS
1. pregnancy
2. skin disease
M- movement
C- color
N- numbness
E- edema
W- warmth
S- sensation
1. windowing Putting a hole on a cast on the site of an open wound of the casted extremity
for the purpose of visualization, inspection, dressing, as well as application of
medications
2. bivalving Cutting the cast into halves from the upper portion to the bottom part for the
purpose of relieving possible cast tightness, X-ray and inspection of the casted
extremity
3. reinforcing reapplication of Plaster for the purpose of regaining its strength in case of
wetting the cast which resulted to its instability
I. CAST IN THE TRUNK AREA
SHORT ARM CIRCULAR CAST SHORT ARM POSTERIOR MOLD MUNSTER/FUENSTER CAST
Fracture of the wrist and finger fracture of the wrist and finger with open fracture of radius and ulna with callus
wound, swelling and infection formation
SHORT LEG CIRCULAR CAST LONG LEG CIRCULAR CAST SHORT LEG POSTERIOR MOLD
ankles, tarsals and metatarsals tibia and fibula affection ankles, tarsals and metatarsals affections with
open wound, swelling and infection
affection
LONG LEG POSTERIOR MOLD PATELLAR TENDON BEARING CAST DELVIT CAST
tibia-fibula affections with open tibia fibula with callus formation fracture of the distal third of tibia and
wound, swelling and infection fibula with callus formation
for patellar affection – fracture of the patellar with open wound, fracture of the shaft of femur with callus formation
swelling and infection
SINGLE HIP SPICA CAST 1 ½ HIP SPICA CAST DOUBLE HIP SPICA CAST
hip and femur affections hip and femur affections – hip and femur affection
PANTALON CAST FROG CAST INTERNAL ROTATOR BOARD
pelvic affection for congenital hip dislocation hip surgery (partial and total hip
surgery
NIGHT SPLINT
Post polio
BRACE
A mechanical support for weakened muscles, joints and bones in rehabilitation
I. FUNCTIONS
1. For immobilization
2. Permit patients to walk without fatigue
3. Maintain body alignment
4. To control involuntary movements
5. Prevent and correct deformity
6. For support
UNILATERAL LONG LEG BRACE BILATERAL LONG LEG BRACE SHORT LEG BRACE
For post poliomyelitis with For post poliomyelitis with residual For clubfoot
residual paralysis paralysis
TOWERS EXTERNAL FIXATOR ROGER ANDERSON EXTERNAL FIXATOR MINIROGER ANDERSON EXTERNAL
For fracture of the mandible For comminuted fracture of the long FIXATOR
bone; RAEF FOR LOWER EXTREMITIES For comminuted fracture of the
long bone of upper extremities
(radius – ulna/humerus)MINIRAEF
DELTA FRAME EXTERNAL FIXATOR HYBRID EXTERNAL FIXATOR ELIZAROV EXTERNAL FIXATOR
rd
For fracture of Proximal 3 and Distal For periarticular fracture of the For comminuted fracture,
3rd tibia-fibula ankle or knee joint non-union, mal union and
bone lengthening