Why are we still using pre-operative skin traction for hip fractures?

Abstract

We performed a prospective randomised trial to evaluate the efficacy of pre-operative skin traction for proximal femoral fractures in 311 patients. We found a significant difference in pain score on the evening of admission and the first morning after admission between the groups with traction compared the group without. However, there was no corresponding increase in analgesic requirement during this period. The peak pain score pattern also was different in our population. No other objective benefit can be shown from using skin traction, and its routine use should be abandoned.

• Authors: Daniel Kwok Hing Yip, Chi Fat Chan, Peter K Y Chiu, Jimmy W K Wong, James K F Kong
• Journal: International orthopaedics (Int Orthop) Vol. 26 Issue 6 Pg. 361-4 ( 2002) ISSN: 0341-2695 [Print] Germany
• PMID: 12466869 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Chemical References

• Analgesics

Topics

• Adult
• Aged
• Aged, 80 and over
• Analgesics (therapeutic use)
• Female
• Hip Fractures (complications, therapy)
• Humans
• Male
• Middle Aged
• Pain (etiology)
• Pain Management
• Pain Measurement (methods)
• Preoperative Care (methods)
• Prospective Studies
• Skin
• Traction (methods)
• Treatment Outcome