Maintenance of balanced traction care chart to minimise traction related complications of femoral fracture in children

Sowrav Barman, Abisha Nevins
2018 International Journal of Orthopaedics Sciences  
Femoral shaft fractures are among the most common diaphyseal fractures in children. In fracture femur, traction is a method of initial stabilisation before definite treatment. Birmingham Children's Hospital in the United Kingdom uses a balanced traction care chart which was introduced locally to monitor traction care and traction related complications. The aim of this study is to retrospectively assess and review whether or not this balanced traction care chart reduces traction related
more » ... on related complications. A total of 10 patients were included in the study and data was taken in terms of average duration of traction, traction daily check documentation, neurovascular status and pressure areas check, incidence and treatment of pressure sores, documentation of pain score, documentation of type of stool, regular check of skin traction and suspension, Check x-ray and action needed depending on score. The average duration of traction was 10.7 days. There is significant improvement in categories such as traction daily check documentation, neurovascular status and pressure areas check, as all the above categories were checked in all cases (100%) in comparison with the previous data. Moreover, current data showed that 40% of children developed pressure sore which was 62% previously and the severity of the pressure sore has decreased after introduction of the traction care chart. Of those pressure sores, two were blisters, one was slight redness and one patient had breakage of skin. Lack of adjustment was the reason for all pressure sores and pressure sores were treated with dressing and re adjustment of the Thomas splint. Introduction of the balanced traction daily care chart improves the outcome of patients with traction and minimises the risk of traction related complications. Birmingham Children's Hospital in UK has introduced this chart and it has been received well on the wards by staff. As this report shows that this balanced traction care chart minimises traction related complications; it could be introduced to other Paediatric Hospitals as well.
doi:10.22271/ortho.2018.v4.i1m.121 fatcat:yuu7ejetljh7zbrvnnqpzxlpoi