College

**Q21. Which of the following is not a skin traction technique used in the management of fractures?**

a) Parkyn traction
b) Russel's traction
c) Buck's traction
d) Gallows' traction

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**Q22. Which of the following is not an indication for skin traction?**

a) Femoral traction in children
b) Displaced acetabulum fractures
c) After reduction of hip dislocation
d) Temporary management of fracture of neck of femur

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**Q23. Which of the following is not a traction apparatus?**

a) Pulleys
b) Stirrups
c) Trolley
d) Weights

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**Q24. Why should the lateral skin traction tape be applied more posteriorly than the medial one in a patient placed in a Thomas splint for treatment of a femur fracture?**

a) To correct external rotation of the limb
b) It will give more traction in that position
c) There will be less skin irritation
d) Gran ring pressure will be lessened

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**Q25. What is the best indication for the use of a Kirschner wire in skeletal traction?**

a) Tibia plateau
b) Distal radius
c) Distal metacarpal bone
d) All of the above

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**Q26. What is the main indication for head halter traction?**

a) Lumbar fracture
b) Neck fracture
c) Clavicle fracture
d) None of the above

Answer :

Final answer:

Traction techniques in fracture management include various methods such as skin and skeletal traction, with specific indications for each. Gallows' traction is not skin traction, and indications for skin traction exclude displaced acetabulum fractures. Additionally, the placement of traction tape, the use of Kirschiner wire, and head halter traction serve distinct purposes in fracture treatments.


Explanation:

Traction Techniques in Fracture Management

Traction is a key method used in the management of fractures. There are different types of traction, namely skin and skeletal traction, and each has its own indications and applications.

Question 21: Skin Traction Techniques

Among the listed options, Gallows' traction is not classified as skin traction. It is generally used in children to treat femoral fractures and involves more than just the skin surface.

Question 22: Indications for Skin Traction

In terms of indications, displaced acetabulum fractures would not be a typical indication for skin traction as they may require surgical intervention rather than conservative treatment.

Question 23: Traction Apparatus

For traction apparatus, items like weights and pulleys are specifically designed for traction, while a trolley is not primarily a traction device.

Question 24: Thomas Splint Placement

For the application of lateral skin traction tape in the context of the Thomas splint, it should be placed more posteriorly than the medial one to correct external rotation of the limb. This orientation provides better alignment and stability for the fracture site.

Question 25: Kirschiner Wire Indication

The Kirschiner wire is best indicated in situations involving tibia plateau fractures due to its ability to provide stable fixation in complex cases.

Question 26: Head Halter Traction Indication

Finally, the most common indication for head halter traction is in the context of neck fractures, as it allows for effective immobilization and alignment of cervical structures.


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