Tortation, a therapeutic measure that passes a metal needle through the bones, binds the skin with sticky ointment, or otherwise pulls the body, torso or skull to achieve the purpose of stretching, repositioning, stabilizing, pain relief, convulsion, etc。
Apply
It is generally applicable in the following cases: 1 fracture. Examples include fractures in femur stem, fractures in femur cortex, fractures in osteoporus, fractures on osteoporus, etc. Bone tuning can cause fractures. Bone tuning is commonly used for pre-operative preparation when the femur is broken. 2 detached. For example, fractures in the cervical vertebrae, congenital decapitation of a child, half detour of a hip, old detour, etc. Can be used to retort the bone. 3 correct the convulsion. In case of convulsive convulsions caused by various soft tissue disorders, pull can be used to overcome the convulsion or as a pre-operative preparation. 4 hold steady. When the fracture is restored, a period of time is to be sustained by pull. Physical muscle spasms, pain caused by arthritis can be pulled to prevent joint discomfort and control inflammation and convulsion. 6 correct malformations. In the case of spinal percussion, towed correction is available。
Category
There are bone toweds, skin toweds, rope toweds, etc。
One bone tow. The metal needles are passed through parts of the bones, with the help of a towed device, towed, and the bone towed is named after the towed parts of the bones, often with a femur towed, a gill towed (figure 1), a skeletal hawk towed, a bone towed, a skull towed, etc. It can be named after a towed tool, such as steinman's needle tow, kirschner's needle tow, ice clamp tow, ring tow, basin tow, etc. They can also be divided into slide toweds and fixed toweds, whether or not the towed device is fixed, the former using a stretcher placed on the bed, while the latter will tie the limbs to a towed frame, and some patients may be removed from the bed with a towed frame. An external fracture fixer, a limb extensioner, is also a fixed towed which is towed or pressurized by its own spiral device。
A rough index of the cheekbones
2 skin towed. The effect of sticking one end of a sticky ointment of a certain length and width to the skin of the body, coupled with a towed device at the other end, most of which is used in the lower limb (figure 2), is that it does not need needles in the bones, but that the deficiency is that the pull is smaller than the bone tow. Magnificent pulls out of the glue, the skin is covered with it, the sweat glands are not excreted, and skin inflammation occurs later. When a child is fractured, a bone towed can cause damage to his or her bones (e. G., a corrugated part of his or her bones) and therefore the skin towed is appropriate. Some people use sponge mats to tie their nylon belts to the skin of their limbs and tow them。
Skin pull
3 straps to pull. If a pillow belt is used, the neck towed (figure 3) and the pelvis and the chest torn torso torso torso vertebrae. Since the traction is pressured on the skin of a bone fracture, interlocking tow is generally used rather than continuous tow, such as vertebrae in the case of neurorootal cervical vertebrates, pelvis in the case of pelvic tumour palsy。
Pillow belt tow
Tow request
One pin. In order to achieve the purpose of diversion and reduce complications, needles must be accurate. 2 when the limb bone is towed. The direction of the needle must be vertically to the tow direction in order to maintain the balance of the tow needle and, if the needle is tilted, not only the tow direction is incorrect, but it is easy to slide to one side, resulting in a needle hole infection. 3. Close observation to prevent bone and skin damage. If the skull is towed for a long time, the needle bone can be suppressed to the death and absorption, and the towed clamps can be removed. Bone tow needles are tilted and can crush the needle's skin to cause death. 4 when skin is drawn, it is necessary to prevent the laxity of the glue and to be aware of the presence of dermatitis。
Complications
There are the following types of infection: a needle perforate, because of the tilt of the needle, slides to one side of the bone, pressure on the bone, death of the bone, loosening of the needle, bacterial infection when the needle moves, depression of the skin by the needle, expansion of the needle and infection. 2 a perforation of a hard-dural membrane can damage a hard-drived skull if the perforation is too deep through the inner plate, or if the pervulsion is often tightened and gradually penetrates the inner plate. In the case of convulsive bone turbid correction, such as neural damage, knee artery, etc., the virulence may damage the fiery nerve. When the skin of the lower limbs is drawn too tight, it can crush the general nerves and paralyze them. 4 skin towed can cause dermatitis。
