Department of Orthopaedic Surgery - University Stellenbosch, South Africa
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The main use of Dunlop's traction is in the maintenance of reduction in supracondyar fractures of the humerus in children.
Skin traction is placed on the forearm and A special frame used on the
side of the bed.
Pelvic traction for Backache
In sciatica and other backaches relief from pain can be obtained by means of pelvic traction. Traction is applied to a pelvic harness with weights over the end of the bed.
An alternative in Sciatica is the 90-90 position. By means of cushions under the knees, the hips are flexed near 90 degrees, as well as the knees. This shortens the sciatic nerve and relieves pain.
In conservative treatment of acetabular fractures longitudinal traction in the long axis of the limb is often used. In addition the head of the femur can be disimpacted from the acetetabulum ( central fracture dislocations) by means of manipulation under anesthesia. The reduction is maintained by means of lateral traction from pins paced in intertrochanteric region.