![]() Remember that you should still be able to assess and monitor the neurovascular status of the leg, and remember to check for and regularly assess the skin for pressure sores from splint application. Patients may arrive from the field with a splint attached. NSW Ambulance use only the CT-6 splint (an advanced, lightweight form of traction splint). Donway, Thomas) and ‘non half ring’ splints (e.g. These may be broadly grouped as ‘half ring’ splints (e.g. There are a number of different femur splints available. May transition to skin traction where operative intervention is not readily available. Most often operative intervention, but may be by long leg caste where non displaced and multiple medical conditions. Traction as per device often applied as pre hospital measure, assure has not lost traction or position in transit. Potential for blood loss into thigh being a significant contributor to shock. Initial management as per ATLS/EMST considering potential polytrauma complications. ?indicated when diminished distal pulses after gross alignment restored.identifying separate osteochondral fragments in the area of the intercondylar notch.establishing intra-articular involvement.AP, Lat, and oblique traction views can help characterise injury.obtain standard AP and Lat., traction views.AP and lateral views of ipsilateral hip and knee.Risk for popliteal artery in displaced fractures. Pain and deformity, swelling around the knee. May be associated NOF fractures and risk for bilateral in MVAs. Older: Osteopenic, assess in the context of cause of fall. Younger: often high speed MVA or significant trauma mechanism, as part of polytrauma. Traction by device or skin traction if not provided pre hospitally
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