Skin Traction Versus Position Splint in Patients With Hip Fracture

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Status: Completed

Conditions: Hip Fractures; Splints; Complication of Traction Procedure; Pain

Treatments: Device: elastic bandage; Device: Derotation splint

Study type: Interventional

Funder types: Other

Identifiers

NCT02287571

B.10.4.İSM.4.06.68.49/

Details and patient eligibility

About

The aim of this prospective, randomized controlled trial is to compare the effects of preoperative skin traction and position splint on pain, comfort, complications, difficulty level of nursing interventions, satisfaction from treatment and nursing care in patients with hip fracture. The sample is comprised of 34 patients with hip fracture in each group, totally 68 patients. Skin traction and position splint were applied after block randomization. Data regarding pain, comfort, satisfaction from care, immobilization comfort, complications, time of operation and hospitalization time were collected after intervention.

Enrollment: 68 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being inpatient who were planned the surgery due to the hip fracture (caput femur fracture, collum femur fracture, femur intertrochanteric fracture and subtrochanteric fracture) diagnosis in the Orthopedics and Traumatology Clinic
• Being 50 years old or more
• Patients who speak and literate in Turkish
• Patients who gave informed consent to participate in the study

Exclusion criteria

• Any condition that emerges an obstacle for verbal and written interaction during data collection phase
• Unable to perform written or verbal communication in Turkish
• Withdrawal from the study due to medical reasons or death, at his/her will prior to preoperative data collection
• Urgent non-elective surgery
• Physician decision that do accept the method of immobilization assigned to the patient as appropriate

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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68 participants in 2 patient groups

Skin traction

Active Comparator group

Description:

Prior to hip fracture surgery, affected limb was wrapped with a special elastic bandage and pulled from the sole of the foot with a weight of 5-10% of total body weight of the patient (min 2.3 kg, max 4.5 kg).

Treatment:

Device: elastic bandage

Position splint

Experimental group

Description:

Prior to hip fracture surgery, position splint was applied to the affected limb in order to keep the extremity in the proper positon without any weight lifting.

Treatment:

Device: Derotation splint