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Published in: European Journal of Trauma and Emergency Surgery 6/2016

01-12-2016 | Review Article

Indications and anatomic landmarks for the application of lower extremity traction: a review

Authors: S. F. DeFroda, J. A. Gil, C. T. Born

Published in: European Journal of Trauma and Emergency Surgery | Issue 6/2016

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Abstract

Purpose

Fractures of the lower extremity, particularly of the femur and acetabulum, may be difficult to immobilize with splinting alone. These injuries may be best stabilized with the application of various types of skeletal traction. Often, traction is applied percutaneously in an emergent setting, making the knowledge of both superficial and deep anatomy crucial to successful placement.

Methods

Review was performed via PubMed search as well as referencing the Orthopaedic literature. Relevant articles to the anatomy of the knee, ankle and calcaneus as they pertain to traction placement were referenced in compiling the optimal recommendations for traction placement.

Conclusion

By palpating and marking superficial landmarks and observing specific anatomic relationships, safe application of traction pins can be performed while minimizing iatrogenic injury to vital anatomic structures, and avoiding intra-articular placement which could potentially lead to joint infection.
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Metadata
Title
Indications and anatomic landmarks for the application of lower extremity traction: a review
Authors
S. F. DeFroda
J. A. Gil
C. T. Born
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 6/2016
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-016-0712-3

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