Physiological Integrity Q 41
A client with a fractured hip has been placed in Buck’s traction. Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:
A. Utilizes a Steinman pin
B. Requires that both legs be secured
C. Utilizes Kirschner wires
D. Is used primarily to heal the fractured hips
Correct Answer: A. Utilizes a Steinman pin
Balanced skeletal traction uses pins and screws. A Steinman pin goes through large bones and is used to stabilize large bones such as the femur. For some types of femur fractures, a pin is placed in the child’s broken bone and the pin is connected to the weights. This is called “balanced skeletal traction.” The weights keep the parts of the bone in the proper place so the bone can heal well.
Option B: Only the affected leg is in traction. Weights, ropes and pulleys are used to balance and hold the leg up for best healing. The equipment cradles the leg to help the child relax and feel more comfortable while the ends of the bones are healing together.
Option C: Kirschner wires are used to stabilize small bones such as fingers and toes. The nurses will also check the skin around the pin for these signs: redness, flaking, and blisters. These are signs of skin breakdown and irritation.
Option D: Buck’s traction is not used for fractured hips. For people with hip fractures, traction involves either using tapes (skin traction) or pins (skeletal traction) attached to the injured leg and connected to weights via a pulley. The application of traction before surgery is thought to relieve pain and make the subsequent surgery easier.