Femoral head traction

Femoral head fractures are not uncommon in clinical practice, and the severity of femoral head fractures varies due to external stimulation. In cases like this, timely treatment measures must be taken, as femoral head fractures have a huge impact on people's bodies. Of course, in life, some people will choose traction for the problem of femoral head fracture, which can also alleviate the problem of letting go. There are also many things to pay attention to when doing femoral head traction.

1. Supracondylar femoral traction This traction technique is suitable for displaced femoral fractures, displaced pelvic ring fractures, central hip dislocations and old posterior hip dislocations, etc. It can also be used when the tibial tuberosity has been pulled for too long, the traction pins are loose or the pin holes are infected, and the pins must be replaced to continue traction.

2. Operation steps: Place the injured lower limb on the Brown traction support, and draw a horizontal line perpendicular to the femur within 1 cm proximal to the upper edge of the patella (for the elderly with osteoporosis, the nails should be placed higher than the upper edge of the patella; for young and middle-aged people with hard bones, the nails should be placed closer to the upper edge of the patella). Then, draw a vertical line along the front edge of the fibular head and the highest point of the medial condyle of the femur, which intersects with the horizontal line of the upper edge of the patella. The two intersecting points are used as landmarks, namely the entry and exit points of the Steinmann wire. After disinfection and local anesthesia, insert the Steinmann wire from the marked point on the inner thigh to the femur, hammer or drill the Steinmann wire to make it pass through the marked point on the outer skin, make the exposed parts of the traction needles on both sides equal in length, use towel clamps to flatten the sunken skin at the needle insertion site, install the traction bow, and perform traction on the traction frame.

3. The total weight used for other traction should be determined according to the weight and injury of the injured person. For example, the total traction weight for pelvic fractures, femoral fractures and hip dislocations is generally calculated as one-seventh or one-eighth of the body weight for adults. For the elderly and weak, those with excessive muscle injuries or pathological fractures, one-ninth of the body weight can be used.

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