Abstract | BACKGROUND:
Femoral fractures are a major healthcare problem worldwide. One of the most difficult issues is their preoperative care, which is still managed by either skeletal or skin traction in some countries, including Italy. These issues are discussed and compared with the contemporary literature. OBJECTIVE: DESIGN: For this cross-sectional study, a 12-item survey was administered to the nursing staff, consultants and residents of the Orthopaedic Units in three different hospitals in NorthEastern Italy. The questionnaire investigated the routine use of skeletal or skin traction for the preoperative management of hip fractures in those settings. FINDINGS: CONCLUSIONS AND RECOMMENDATIONS: Based on the data and the literature revision, skin or skeletal traction for patients with proximal femoral fractures should be discouraged as standard practice. This is supported widely in the international literature, and consideration of knowledge translation strategies should be made to refine current practice in these settings.
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Authors | Carlo Biz, Ilaria Fantoni, Nicola Crepaldi, Filippo Zonta, Lisa Buffon, Marco Corradin, Alessandra Lissandron, Pietro Ruggieri |
Journal | International journal of orthopaedic and trauma nursing
(Int J Orthop Trauma Nurs)
Vol. 32
Pg. 32-40
(Feb 2019)
ISSN: 1878-1292 [Electronic] England |
PMID | 30385307
(Publication Type: Journal Article, Multicenter Study)
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Copyright | Copyright © 2018 Elsevier Ltd. All rights reserved. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Cross-Sectional Studies
- Female
- Health Services for the Aged
- Hip Fractures
(nursing, surgery)
- Humans
- Italy
- Male
- Nursing Process
- Pain
(prevention & control)
- Postoperative Complications
- Preoperative Period
- Surveys and Questionnaires
- Traction
- Young Adult
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