The use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review.
Int J Orthop Trauma Nurs
; 49: 101004, 2023 May.
Article
in En
| MEDLINE
| ID: mdl-36878122
ABSTRACT
BACKGROUND:
Hip surgery is normally the chosen therapy for proximal femur fractures. Surgery within 24-48 h after hip fracture is recommended, but surgery may not always be performed promptly. Consequently, skin-traction is applied to reduce complications. The purpose of this review is to assess both advantages and disadvantages of skin traction.METHODS:
A scoping review was conducted. The research question was which are the effects of skin traction, its advantages and disadvantages in adult patients with proximal femur fractures hospitalised in orthopaedic wards? The search was done in the databases PubMed, CINAHL, Cochrane, Embase, DOAJ, ClinicalTrials.gov and OpenDissertation.RESULTS:
9 records were included, skin traction effects were summarised in 7 categories pain, pressure sores, comfort and relaxation, thromboembolism, damage from adhesive, complications and quality of care. The possible advantage is pain reduction between 24 and 60 h, the possible disadvantage is skin damage. DISCUSSION ANDCONCLUSION:
The routine use of skin traction does not appear recommended, but more consistent evidence is necessary to make clinic decisions. Future RCTs could focus on the effects of skin traction 24-60 h after hospitalisation and before surgery.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Femoral Fractures
/
Proximal Femoral Fractures
/
Hip Fractures
Type of study:
Prognostic_studies
/
Systematic_reviews
Limits:
Adult
/
Humans
Language:
En
Journal:
Int J Orthop Trauma Nurs
Year:
2023
Document type:
Article
Affiliation country: