Nursing Care Related to the Musculoskeletal System

1-36

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1-36. SKELETAL TRACTION WIRE OR PIN

The Kirschner wire and Steinmann pin are commonly used devices in skeletal traction. The wire or pin insertion is always an aseptic procedure, and is usually done in the operating room. A local or general anesthesia is used, and all preoperative and postoperative precautions must be taken. The wire or pin is inserted through the bone, distal to the fracture site, and out through the skin on the other side. The sharp protruding ends of the pin or wire should be covered--corks are generally used for this purpose. A skeletal tractor device is fitted onto the wire or pin and traction is maintained by the weight, pulley, and rope attached to the skeletal tractor (see figure 1-15).

Figure 1-15. Skeletal tractor device.

 
 

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