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Gadgets

The document provides an extensive overview of various traction methods, casts, and braces used in orthopedic care, detailing their specific applications for different conditions and injuries. It categorizes traction into skeletal and skin types, outlines the appropriate casting techniques based on fracture types, and lists various braces for spinal and limb support. Key considerations for cast application and indications for each device are also included to guide clinical practice.
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0% found this document useful (0 votes)
15 views72 pages

Gadgets

The document provides an extensive overview of various traction methods, casts, and braces used in orthopedic care, detailing their specific applications for different conditions and injuries. It categorizes traction into skeletal and skin types, outlines the appropriate casting techniques based on fracture types, and lists various braces for spinal and limb support. Key considerations for cast application and indications for each device are also included to guide clinical practice.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GADGETS

PHILIPPINE ORTHOPEDIC CENTER


Nursing Division
Nursing Training and Research Department
TRACTIONS
SKELETAL TRACTION
Crutch field tong
For affection of the
cervical spine
Halo Traction

With 4 pin sites; also for


cervical spine affection
Halo femoral
traction

For scoliosis
Balance Skeletal Traction
for
affection/fracture
of the hip and
femur
Halo Pelvic
Traction

For scoliosis
90-90 Degrees Traction
for proximal
femur affection
(specifically
subtrochanteric
area)
Over Head Traction

For
supracondylar
fracture of
the humerus
(pin inserted
in the
olecranon)
SKIN TRACTION (Adhesive)
Zero Degree Traction
For affection
on the
proximal
humerus;
shoulder
dislocation;
surgical neck
fracture
Dunlop Traction

For
supracondylar
fracture of
the humerus;
fracture on
the shaft of
the humerus
Bryant’s Traction
For congenital
hip dislocation,
Affection of the
hip and femur
for children
below 2 years
old
Buck’s Extension Traction
for affection of
the hips and
femur for older
children and
adult
SKIN TRACTION (Non-adhesive)
Head Halter Traction
for affection
of the cervical
spine (patient
on semi-
fowlers, must
use curve bar,
clamp and
pulley)
Cotrel traction
for scoliosis
(combination
of head halter
traction and
pelvic girdle
traction)
Hammock Suspension Traction
for fracture of
the pelvis;
malgaigne
fracture
Pelvic Girdle Traction
For HNP
(Herniated
Nucleus
Pulposus), low
back pain
Foam Traction

With same indication with


Buck’s Extension Traction
(modified Buck’s
Extension Traction using
commercially available
foam)
Bohler Braun Splint

For tibial plateau fracture


(pin is inserted in
calcaneal bone)
SPECIAL TRACTION
Boot cast traction

For patient with


hip and knee
contracture (ex.
Post polio with
hip and knee
contracture)
CAST
THINGS TO REMEMBER:
• If the affected area is with open wound,
infection and swelling – cast to be applied
should be molds and splints only
• If the affected area only has close type of
fracture, no infection and swelling noted –
cast to be applied is should be circular
• If the cast is with depression – it is indicated
for patients with callus formation already
Long Arm Circular
Cast
Affection of the
radius-ulna or
elbow fracture

https://tse2.mm.bing.net/th?id=OIP.IJcoteKl9p
XLcBa175AKkgEsDU&pid=15.1&P=0&w=252&h
=179
Short Arm Circular
Cast

For affection of
wrist and/or
carpals and
metacarpals;
DRUJ(distal radius
ulnar joint) fracture

http://www.giltechltd.com/Splint3.jpg
Short Arm Posterior
Mold

For wrist and/or


finger affection
with wound,
infection and/or
swelling
Long arm posterior
mold
Affection of the
radius-ulna with
open wound,
infection or
marked swelling

http://img.medscape.com/pi/emed/ckb/clinica
l_procedures/79926-79928-80127-
2185471tn.jpg
Munster or
Fuenster Cast

For the affection


of radius ulna
with callus
formation
Functional Cast

Affection of the
proximal humerus
with callus formation
Sugar Tong Mold

For
compound/open
fracture of the
humerus
Shoulder Spica/
Abduction Cast

For shoulder joint


affection, proximal
humerus and
shoulder
dislocation
Long Leg
Circular Cast
For the affection
of tibia fibula
Short Leg
Circular Cast
For the affection
of ankle, tarsal
and metatarsal
Short leg posterior
mold
Affection of ankle
or toes with open
wound, infection
or marked swelling
Long leg posterior
mold
Affection of tibia
fibula with open
wound, infection
or marked swelling
Slipper Mold
For metatarsal
and phalanges
affection
(PTB) Patellar Tendon
Bearing Cast

Modified LLCC for


mobilization
purposes; Affection
of tibia fibula with
callus formation
Delvit Cast
Modified PTB
Cast with callus
formation at the
distal 3rd
tibia/fibula to
allow foot
exercises
Cylinder Mold

For patella
affection with
open wound,
infection and/or
swelling
Cylinder Cast

For the affection


of patella
Knee
Immobilizer

With same
indication with
cylinder mold
using
commercially
prepared
material to
immobilize
affected leg
Internal Rotator Splint

For
immobilization
purposes only;
Applied to post-
operative
patient who had
undergone hip
arthroplasty
Cast Brace
For
supracondylar
fracture of the
femur and/or
proximal tibia
with callus
formation
1 ½ Hip Spica

Affection of hip
and femur (one leg
only, cast is with
abduction bar, leg
slightly flexed);
turning of patient
will be towards
unaffected side
Double Hip Spica

For affection of
both hips and
femur
Single Hip Spica
For hip and
distal femur
affection
Ischial Weight
Bearing Cast or
Quadrilateral Cast

For femoral shaft


fracture with callus
formation
Pantalon Cast

For
fracture/affection
of the pelvis
Frog Cast

Congenital hip
dislocation
Rizzer’s Jacket
Cast
For scoliosis
Night Splint
to treat
conditions such
as Achilles
tendinopathy
and plantar
fasciitis
BRACES
Shantz Collar

for affection of
the cervical
spine

https://encrypted-tbn3.gstatic.com/images?q=tbn:ANd9GcR7wL-
xFFGajE3NLX39TEqaqM1S1fCat8QIqRGhd4dWutRZU6Wx
Philadelphia Collar

• For affection of the


cervical spine (with chin
part for more restricted
movement)
4 Foster Brace

For cervical
affection
(specifically
lower cervical
spine) and upper
thoracic spine
affection
Chairback
Brace
For lumbo-sacral
spine affection,
HNP, low back
pain
KT (Knight
Taylor) Brace

For affection of
the thoraco-
lumbar or
thoracic
spine(upper
thoracic)
Forrester Brace

For affection of
cervical, thoracic
and lumbar
spine
Jewett Brace

For affection of
lower thoracic and
lumbar
spine(preventing
twisting and
flexion); keep in the
correct position
while healing from
injury and/or
surgery
http://www.euisu.com/page/img/bimag3_05.jpg
Yamamoto
Brace

For scoliosis (util


mid axillary level
only)
Milwaukee
Brace

For scoliosis
(extended up to
the chin, with
occiput support)
Banjo Splint
Peripheral nerve
injury; and fracture
of radius –ulna
with nerve injury
Oppenheimer
Splint

Peripheral Nerve
injury
specifically radial
nerve injury

http://www.bunnellsplints.com/images/260__
3_MODIFIED_OPPENHEIMER_SPRING_WIRE_S
PLINT.jpg
Cock-up
Splint/Wrist Strap

For wrist drop

https://tse4.mm.bing.net/th?id=OIP.Mt-
XtcPpiMla3EBAq7SZQEsDU&pid=15.1&P=0&w
=242&h=172
Short Leg Brace

Indicated for
foot drop, flat
footed and with
foot
imperfections

https://tse4.mm.bing.net/th?id=OIP.5Cuoko21
AUD9wL4zYG3lUwENEs&pid=15.1&P=0&w=30
0&h=300
Unilateral Long Leg
Brace
For post-polio
with residual
paralysis
Bilateral Long eg
Brace

Post-polio of
both lower
extremities with
residual paralysis

https://tse4.mm.bing.net/th?id=OIP.M956062
1da6202adb4ca987ea341c96e2o0&pid=15.1&
P=0&w=300&h=300
Denise Browne Shoes/Splint
for congenital
talipes
equinovarus
(CTEV) or
clubfoot
Scottish Rite
Brace/Atlanta
Brace

Legg- calve
Perthes Disease
(LCPD) or Coxa
Plana; also
called abductor
splint

https://tse4.mm.bing.net/th?id=OIP.Mc7ed14c
fe53b11bd352acda5bd481956o0&pid=15.1&P
=0&w=213&h=153
SOMI
(Sterno-Occipito- mandibular Immobilizer)

for high cervical


spine affection

https://www.mayfieldclinic.com/PE-brace.htm

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