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To perform halo-traction therapy a surgeon will use six to ten small pins to attach a "halo" made of a metal ring to the patient's skull. [23] [24] [25] Doctors will typically leave one to two centimeters of distance between the halo and the patient's head. It is common for older patients to be given eight pins while younger patients are given 10.
For thoracic and lumbar spine, support can be provided using custom-fit, hard-shell back braces, most commonly after surgery. [8] A patient in the LA County Medical Center intensive care unit with a Halo orthosis in place. (July 2004) These devices are used while the spine is healing and are not needed permanently. [8]
In most cases traction is only one part of the treatment plan of a patient needing such therapy. The physician's order will contain: Type of traction; Amount of weight to be applied; Frequency of neurovascular checks if more frequent than every four hours; Site care of inserted pins, wires, or tongs; The site and care of straps, harnesses and ...
A traction splint most commonly refers to a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rod(s) to mimic normal bone stability and limb length, and a mechanical device to apply traction (used in an attempt to reduce pain, realign the limb, and minimize vascular and neurological complication) to the limb.
A cervical collar, also known as a neck brace, is a medical device used to support and immobilize a person's neck. It is also applied by emergency personnel to those who have had traumatic head or neck injuries, [1] although they should not be routinely used in prehospital care. [2] [3] They can also be used to treat chronic medical conditions.
Traction involves using a pulling force to align bones and reduce fractures, particularly in cases involving the spine, pelvis, or long bones. It can be achieved through a variety of mechanisms, including skin traction (using adhesive materials attached to the skin) or skeletal traction (which involves pins or wires placed directly into the bone).
A custom-made ankle/foot orthosis can be used for the treatment of patients with foot ulcers, it is a rigid L-shaped support member with a rigid anterior support shell on an articulated hinge. The plantar portion of the L-shaped member has at least one ulcer-protecting hollow to allow the user to transfer their weight away from the ulcer to ...
Subsequent studies showed that in the unstable patient, long operations lead to a 'second hit' which actually worsened mortality outcomes. A philosophy of damage control orthopaedics (DCO) was proposed in 2000, [ 2 ] aiming to prevent early death in a critically wounded patient via stabilization and not definitive fixation , often with the use ...