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------------------------------------------------ A client presents at the emergency department with a compound fracture of the right femur. Skeletal traction is applied to align the bones. What type of traction would be used?

a. Russell traction
b. Thomas splint
c. Buck’s traction
d. Steinmann traction

Answer :

Final answer:

The correct type of traction for a compound fracture of the femur is Steinmann traction. It involves the insertion of a pin into the bone, followed by the use of ropes and weights to align the fracture. Careful classification and treatment approaches are determined based on the fracture's complexity and location.

Explanation:

Types of Traction for Fractured Bones

When a client presents with a compound fracture of the right femur requiring skeletal traction for alignment of the bones, the type of traction usually employed is Steinmann traction. This type of traction involves the insertion of a pin or wire into the bone, which is then connected to ropes and weights to apply a consistent pulling force, aligning the fractured bone segments for proper healing. Skeletal traction like Steinmann traction allows for heavier weights to be used compared to skin traction, providing a greater force to align bones in cases of severe fractures.

Fractures are complex injuries that require careful classification based on their features, such as being open (or compound) or closed (simple), as well as their location. These fractures may need different approaches for reduction, either closed without surgery or open with surgery, depending on their severity and complications involved. A compound fracture, such as the case given, is an open fracture where the bone has broken through the skin and typically requires more invasive procedures for proper treatment.

Increasing the force along a broken bone in a traction setup using the same weight could potentially be done by adjusting the mechanical advantage of the pulley system, but this must be done under careful medical supervision to prevent additional injury.