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Femur fracture immobilization with traction splints in multisystem trauma patients.
Prehosp Emerg Care 2003 Apr-Jun; 7(2):241-3PE

Abstract

OBJECTIVE

To evaluate the frequency of concomitant injuries that can complicate and/or contraindicate the use of traction splints (TSs) for femur fracture immobilization (FFI) in a population of multisystem trauma patients.

METHODS

This was a descriptive, prospective study utilizing a data collection tool to identify patients with multisystem trauma for which a TS was in place for FFI. Patient care records and follow-up diagnoses were reviewed to identify patients with positive femur fracture(s) who concurrently had injuries that can complicate and/or contraindicate TS use. Injuries considered to complicate or contraindicate traction splint use include 1) pelvic injury, 2) patellar fracture or ligamentous knee injury, and 3) tibia/fibula fracture.

RESULTS

Forty patients were identified as having a TS in place with an underlying diagnosis of multisystem trauma. All 40 had follow-up diagnosis information available, 39 of which were positive for femur fracture on the side of the extremity on which the splint was placed, or bilaterally. The incidence of complicating and/or contraindicating injuries was 38%.

CONCLUSION

Traction splints are commonly used in the prehospital and transport setting for immobilization of femur fractures. There are limited data available on the benefit of traction splint use for femur fracture in the prehospital or transport environment. This study identified that concomitant injuries that complicate and/or contraindicate traction splint use are common.

Authors+Show Affiliations

Boston MedFlight, Boston, Massachusetts, USA. stephen.wood@bostonmedflight.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12710786

Citation

Wood, Stephen P., et al. "Femur Fracture Immobilization With Traction Splints in Multisystem Trauma Patients." Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors, vol. 7, no. 2, 2003, pp. 241-3.
Wood SP, Vrahas M, Wedel SK. Femur fracture immobilization with traction splints in multisystem trauma patients. Prehosp Emerg Care. 2003;7(2):241-3.
Wood, S. P., Vrahas, M., & Wedel, S. K. (2003). Femur fracture immobilization with traction splints in multisystem trauma patients. Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 7(2), pp. 241-3.
Wood SP, Vrahas M, Wedel SK. Femur Fracture Immobilization With Traction Splints in Multisystem Trauma Patients. Prehosp Emerg Care. 2003;7(2):241-3. PubMed PMID: 12710786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Femur fracture immobilization with traction splints in multisystem trauma patients. AU - Wood,Stephen P, AU - Vrahas,Mark, AU - Wedel,Suzanne K, PY - 2003/4/25/pubmed PY - 2003/6/27/medline PY - 2003/4/25/entrez SP - 241 EP - 3 JF - Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors JO - Prehosp Emerg Care VL - 7 IS - 2 N2 - OBJECTIVE: To evaluate the frequency of concomitant injuries that can complicate and/or contraindicate the use of traction splints (TSs) for femur fracture immobilization (FFI) in a population of multisystem trauma patients. METHODS: This was a descriptive, prospective study utilizing a data collection tool to identify patients with multisystem trauma for which a TS was in place for FFI. Patient care records and follow-up diagnoses were reviewed to identify patients with positive femur fracture(s) who concurrently had injuries that can complicate and/or contraindicate TS use. Injuries considered to complicate or contraindicate traction splint use include 1) pelvic injury, 2) patellar fracture or ligamentous knee injury, and 3) tibia/fibula fracture. RESULTS: Forty patients were identified as having a TS in place with an underlying diagnosis of multisystem trauma. All 40 had follow-up diagnosis information available, 39 of which were positive for femur fracture on the side of the extremity on which the splint was placed, or bilaterally. The incidence of complicating and/or contraindicating injuries was 38%. CONCLUSION: Traction splints are commonly used in the prehospital and transport setting for immobilization of femur fractures. There are limited data available on the benefit of traction splint use for femur fracture in the prehospital or transport environment. This study identified that concomitant injuries that complicate and/or contraindicate traction splint use are common. SN - 1090-3127 UR - https://www.unboundmedicine.com/medline/citation/12710786/Femur_fracture_immobilization_with_traction_splints_in_multisystem_trauma_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1090312703500673 DB - PRIME DP - Unbound Medicine ER -