دورية أكاديمية
أعرض في EDS

Rate of skin and nerve complications as a result of cutaneous traction with modern foam boots.

التفاصيل البيبلوغرافية
العنوان: Rate of skin and nerve complications as a result of cutaneous traction with modern foam boots.
المؤلفون: Birch R; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA., Miller J; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA. Electronic address: jordan.miller@unlv.edu., Surina J; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA., Daubs G; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA., Gray A; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA., Nelson KE; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA; University Medical Center Orthopaedic and Spine Institute, Las Vegas, NV, USA., Wentz B; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA; University Medical Center Orthopaedic and Spine Institute, Las Vegas, NV, USA., Kubiak EN; Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA; University Medical Center Orthopaedic and Spine Institute, Las Vegas, NV, USA.
المصدر: Injury [Injury] 2024 Aug; Vol. 55 (8), pp. 111687. Date of Electronic Publication: 2024 Jun 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0226040 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0267 (Electronic) Linking ISSN: 00201383 NLM ISO Abbreviation: Injury Subsets: MEDLINE
أسماء مطبوعة: Publication: <2002->: Amsterdam : Elsevier
Original Publication: Bristol, Wright.
مواضيع طبية MeSH: Traction*/adverse effects, Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Adult ; Aged ; Adolescent ; Young Adult ; Aged, 80 and over ; Pressure Ulcer ; Child ; Fractures, Bone/surgery ; Femoral Fractures/surgery
مستخلص: Introduction: Cutaneous traction is used to temporize lower extremity fractures and relies on friction between the skin and surrounding material to apply a longitudinal force. This circumferential compressive force can lead to pressure sores, skin sloughing, or compressive neuropathies. These complications have been reported in up to 11% of patients when the cutaneous traction relies on adhesive tapes, plaster, and rubber bandages being in immediate contact with the skin. The rates of these complications are not well documented when using modern foam boots.
Methods: A retrospective chart review was performed on all orthopedic trauma patients who suffered pelvic or lower extremity injuries between March 1st, 2020 and April 30th, 2021 at a single Level-1 trauma center. We included all patients with femoral fractures, axially unstable pelvic ring and/or acetabular fractures, and unstable hip dislocations temporized with the use of cutaneous traction. All patients had intact skin and lower extremity nerve function prior to application.
Results: There were 138 patients identified with 141 lower extremities. The average patient age was 50.7 (6-100) years. Mean traction weight of 9.8 (5-20) pounds. Average traction duration was 20.9 (2.3-243.5) hours. At the time of traction removal, there was 1 (0.7%) new skin wound and 0 nerve palsies. The new skin wound was a stage one heel pressure sore and did not require further treatment.
Conclusion: Cutaneous traction with a modern foam boot was found to have a skin complication rate of 0.7% and a nerve palsy complication rate of 0% for an overall complication rate of 0.7%, which has not been previously established and is lower than historically reported complication rates of 11% when utilizing adhesive and plaster directly on skin. Foam boot Cutaneous traction may be considered a safe option for traction placement.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Ltd.)
فهرسة مساهمة: Keywords: Buck traction; Cutaneous traction; Skeletal traction; Skin traction; Traction
تواريخ الأحداث: Date Created: 20240702 Date Completed: 20240725 Latest Revision: 20240725
رمز التحديث: 20240726
DOI: 10.1016/j.injury.2024.111687
PMID: 38954994
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-0267
DOI:10.1016/j.injury.2024.111687