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Buck's extension traction is applied to an older client following a hip fracture. The nurse explains to the client that this type of traction is:

a) Traction involving the use of a cast
b) Skeletal traction involving the use of surgically inserted pins
c) Circumferential traction involving the use of a belt around the body
d) Skin traction involving the use of traction attached to the skin and soft tissues

Answer :

The nurse explains to the client that this type of traction is: d) skin traction involving the use of traction attached to the skin and soft tissues

What is Buck's extension traction?

Buck's extension traction is a type of skin traction that is applied to the lower extremity to reduce muscle spasms, immobilize the fracture site, and align the bone fragments. Skin traction involves the use of adhesive strips, elastic bandages, or boots that are attached to the skin and soft tissues of the affected limb.

Weights are then attached to the traction device and suspended over a pulley to apply a constant force on the limb. Skin traction is less invasive and less complicated than skeletal or circumferential traction, but it also has less control over the fracture site and can cause skin irritation or breakdown. Skin traction is usually a temporary measure until surgery or other treatment can be performed.

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The nurse explains to the client that this type of traction is:

d) skin traction involving the use of traction attached to the skin and soft tissues.

What is skin traction?

Skin traction is used to treat conditions that require only a minor amount of pull. It has several applications:

  • Immobilisation of the extremities following fracture internal fixation surgery.
  • In recent years, it has been used rarely for the relief of muscle spasms in low back pain.
  • In order to immobilize infected joints.
  • For the relief of pain in the fractured neck of the femurs.

Skin tractions fall into two categories.

  • The adhesive
  • a non-adhesive

The weights are typically five to seven pounds in weight and are attached to the skin with tape or straps. They join the fractured ends of the bone or the dislocated joint so that it can heal properly.

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