An elderly client is admitted from a local nursing home after a fall. X-rays reveal a fractured right hip. While waiting for surgery to repair the client's hip, the physician orders Buck's traction. What type of traction is this?
a. skeletal c. internal
b. skin d. manual
B
There are three types of traction are skeletal, skin, and manual. Skeletal traction requires the surgical insertion of pins (Steinmann) or wires (Kirschner) through the bones. Skeletal traction is continuous and is used most frequently for fractures of the femur, tibia, and cervical spine. Skin traction is a nonsurgical method of providing necessary pull for shorter periods, such as Buck's traction (Figure 48-6C). Materials used include tapes, traction strips, cervical halters, pelvic belts, and lower extremity boots. The disadvantage of skin traction for adult use is that it does not adequately control rotation and cannot be maintained for the length of time necessary for adult healing.
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