Questions and Answers
What is the purpose of traction in the context provided?
To reduce deformity and regain normal length and alignment of involved bone
What is a serious complication of external fixation described in the text?
Osteitis at the pin site
What can happen if bone fragments fail to properly fit together?
Malunion
Which type of traction is attached directly to the bone?
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What is a common complication associated with external fixation?
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What can happen to plates, screws, or rods over time in internal fixation?
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What is fixation in the context of nursing care?
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Which of the following is a common cause for using fixation?
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What is external fixation in nursing care?
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Which symptom is commonly associated with fixation?
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Internal fixation in nursing care involves:
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What may a patient experience as a symptom of fixation?
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What is the primary purpose of skin traction?
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Which reference discusses the mechanics of external fixation?
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Which area does the article 'Safe corridors in external fixation' mainly focus on?
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What type of rods are compared in the biomechanical evaluation of external fixation sidebars?
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Which type of fixator frames were evaluated for bending stiffness in one of the references?
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In the context of external fixation principles and applications, which element is crucial for maintaining skin traction?
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Study Notes
Fixation in Advanced Adult Care Nursing
- Fixation is the process of stabilizing broken or dislocated bones in their correct place until they heal, using internal or external devices.
Causes of Fixation
- Bone fracture: the most common reason for using fixation
- Bone dislocation: a bone being removed from its normal place
- Bone infections: weakening bones and making them more susceptible to fracture
- Bone tumors: weakening bones and making them more susceptible to fracture
Types of Fixation
- Internal fixation: a surgical procedure that stabilizes and joins the ends of fractured bones by mechanical devices such as metal plates, pins, rods, wires, or screws
- External fixation: a device placed outside the skin that stabilizes bone fragments with pins or wires connected to bars
Symptoms of Fixation
- Pain in the area of the broken bone
- Swelling in the area of the broken bone
- Bruising in the area of the broken bone
- Difficulty moving the broken bone
Complications of Internal Fixation
- Infection: a serious complication that can occur around the implant site
- Nonunion: when bone fragments fail to fit together properly
- Malunion: when bone fragments heal in the wrong position, leading to pain, stiffness, and deformity
- Hardware failure or Medical equipment failure: plates, screws, or rods can break or become loose over time
Complications of External Fixation
- Pin site infection: the most common complication of external fixation, where the skin surrounding the pins becomes infected
- Osteitis: a serious bone infection that can occur if the infection at the pin site spreads to the bone
- Loose pins or wire: pins or wires can loosen over time, making the fixation less stable
- Stiffness: external fixators can limit joint movement, leading to stiffness in adjacent joints
- Skin irritation: pins and wires can irritate the skin, causing pain and discomfort
Traction
- Traction is the application of a pulling force to a part of the body to reduce deformity, regain normal length and alignment of involved bone, minimize muscle spasm, and reduce, align, and immobilize fractures
- Types of traction:
- Skeletal Traction: attached directly to bone, providing a strong steady continuous pull, and can be used for prolonged periods
- Skin Traction: maintained by direct application of a pulling force on the client's skin, generally used as a temporary measure
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