The use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review

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...

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Bibliographic Details
Published in:International journal of orthopaedic and trauma nursing 2023-05, Vol.49, p.101004, Article 101004
Main Authors: Miedico, Melania, Quattrini, Fabrizio, Attardo, Salvatore Emanuele, Marchioni, Margherita, Bassi, Maria Chiara, Lucenti, Enrico, Sarli, Leopoldo, Guasconi, Massimo
Format: Article
Language:English
Subjects:
Advantages and disadvantages
Femur fracture
Hip fracture
Scoping review
Skin traction
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Summary: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. 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. 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. 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.
ISSN:1878-1241
DOI:10.1016/j.ijotn.2023.101004