The point of traction is to use a pulling force to maintain alignment to an injured body part. Traction can either be applied to the skin or directly to the bony skeleton. Bucks traction, specifically, is skin traction to the lower leg (it can be bilateral or unilateral). This causes either partial or temporary immobilization, … Continue reading Bucks Traction–Genevieve Cragoe, Brianna Hanzmann, Kenyn Castaneda →
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The point of traction is to use a pulling force to maintain alignment to an injured body part. Traction can either be applied to the skin or directly to the bony skeleton. Bucks traction, specifically, is skin traction to the lower leg (it can be bilateral or unilateral). This causes either partial or temporary immobilization, and is used for immobilization of fractures of the proximal femur and hip before corrective surgery.
Priority assessments include ensuring effective skin traction; the leg should be in a neutral position, and the bandage should be assessed to ensure there is no wrinkling or slipping of the bandage. Another important assessment is monitoring for skin breakdown, nerve damage, and circulatory impairment.
The patient’s mobility is limited. The only movement appropriate is for the patient to slightly shift position with assistance, but the patient should not move from side to side.
Usually a patient will have Buck’s traction before surgery, so discharge teaching would not be related to Buck’s traction, but rather about post-operative teaching. If the patient is to have Buck’s traction at home, it is important to encourage foot exercises every hour when awake to promote circulation. Also, the patient (if able–if not, ask a caregiver) should assess sensation in their legs and feet. A caregiver will be needed to assess for skin breakdown.