How to Apply a Skin Traction

Skin traction is a technique used to align and immobilize a fractured bone or joint by exerting a gentle pulling force on the skin. It is often used in combination with other treatment options, such as casting or surgery.

Here are the general steps to apply skin traction:

1. Position the patient: Position the patient comfortably in a supine position, with the affected limb exposed and supported by a pillow or rolled-up blanket. The limb should be relaxed, with the muscles of the limb in a neutral position.

2. Clean the skin: Clean the skin over the area where the traction will be applied. Use an antiseptic solution and allow the skin to dry.

3. Apply adhesive strips: Apply adhesive strips to the skin, making sure they are secure but not too tight. The adhesive strips should be placed perpendicular to the direction of the traction force.

4. Apply the traction: Attach the traction device to the adhesive strips. The device may consist of a pulley system and a weight or a pneumatic device. Apply the traction force gradually, until the desired level of tension is achieved.

5. Monitor the patient: Monitor the patient for any signs of discomfort, skin irritation, or neurovascular compromise. Check the traction device regularly to ensure that it is working properly and that the traction force is maintained.

6. Remove the traction: Remove the traction device periodically to allow the skin to rest and to perform skin care. The frequency of traction removal will depend on the patient's condition and the type of traction device used.

It's important to note that the specific steps for applying skin traction may vary depending on the patient's condition and the type of traction device used. Always follow the instructions provided by the healthcare provider and ensure that the traction is applied correctly and safely.