Dean Salmon 40077459 Midshaft fractures of the Femur Used in the emergency department to support the fracture and allow for easier mobilisation of the patient until surgery is performed Used to realign the limb and reduce pain ID: 409227
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Slide1
THOMAS SPLINT
Dean Salmon40077459Slide2
Mid-shaft fractures of the Femur
Used in the emergency department to support the fracture and allow for easier mobilisation of the patient until surgery is performedUsed to realign the limb and reduce pain
Indications for useSlide3
Contraindications for the use of traction splint:
Injury is close to the knee Injury to the knee
Injury to the hip
Injury to the pelvis
Partial amputation or avulsion with bone separationDistal limb is connected only by marginal tissue. Lower leg or ankle injury
ContraindicationsSlide4
Equipment
3 sets of Velcro Slings
Roll of
Gamgee
S/M/L Thigh Hoop
Splint frame & Skin Traction Slide5
Apply the skin traction along each side of the leg to bare skin, starting from the sole of the foot
Get an assistant to hold the traction while wrapping a crepe bandage along the length of the leg; from just above the ankle to the groin and secure it with a clip
Step 1 – Applying Skin TractionSlide6
Position the patient lying on their back
Measure the thigh circumference and the inner leg length to get correct hoop and splint sizesStep 2 - MeasurementSlide7
Select the correct hoop from the thigh circumference
The frame of the splint can be adjusted to the correct length of the legStep 3 – Size adjustmentSlide8
When this is done attach the hoop to the
frame by inserting the rods into the housings on each end of the tubes until a click is heardThe splint can then be adjusted for the right or left leg by extending the appropriate side to make an angle of 20-30 degrees
Step 3 – Size Adjustment Slide9
Drape the slings over the splint and secure with Velcro to form a trough where the leg will sit
3 or 4 slings can be used depending on the length of the legStep 4 – Splint PreparationSlide10
Place the longest piece of
gamgee along the length of the splint on top of the slings and trim accordingly Fold the smaller piece of gamgee
and place it behind the knee to act as a fulcrum giving the knee extra support
Step 4 – Splint PreparationSlide11
Lift the leg and place the splint underneath with the hoop and strap reaching as far up as the
ischeal tuberosityMake sure there is adequate room beneath the foot in the splint to apply the traction system
Step 5 – Positioning the legSlide12
The strings at the bottom should be tied into a reef knot and the excess slack should be taken up by the use of a windlass (using 3-4 lollipop sticks taped together)
Step 6 – Applying TractionSlide13
Raise the leg with a pillow whilst fully encasing the splint with a final layer of crepe bandages to secure the splint
A number of different pulley systems may then be considered to elevate the leg whilst lying in bed
Step 7 – Securing the SplintSlide14
There are a number of different pulley and cord systems which can be built over the bed to raise the leg up off the bed for additional support.
2 examples of these are shown
Additional Attachments