Editing How to Apply a Skin Traction (section)

=== Applying the Traction ===

1. With an assistant providing manual traction to the limb, apply the skin traction:

   For adhesive traction:
   - Clean and dry the skin 
   - Apply adhesive spray or friar's balsam to improve adhesion
   - Apply the adhesive straps from just above the malleoli to the upper thigh, leaving the knee exposed
   - Place padding over bony prominences like the malleoli

   For non-adhesive traction:
   - Apply the foam boot or wrap from above the ankle to the upper thigh1<ref name="ref2">2</ref>[6]

2. Wrap crepe bandages spirally over the traction material, overlapping by half
3. Leave approximately 10-15 cm of space between the sole of the foot and the end of the traction to allow ankle movement
4. Attach the spreader bar to the end of the traction material1<ref name="ref2">2</ref>