Maintaining Skeletal Traction During CT Scans: A Novel and Reproducible Setup

Abstract

Introduction: 

Skeletal traction is an integral technique in orthopedic fracture management, used primarily in the acute preoperative setting, but in many parts of the world, is still considered for definitive management. Maintenance of skeletal traction during imaging procedures can be a large burden on providers, and releasing traction even for a short period of time can have significant adverse outcomes for patients. There is currently no practical technique for accomplishing this in the literature.

Materials and Methods: 

We describe here a novel and easily reproducible setup that allows for the maintenance of traction during computed tomography scans.

Results: 

The described technique is versatile as it can be used with different computed tomography scanners, easily assembled in a few minutes, and accommodates up to 25 lbs.

Conclusions: 

This technical design offers a safe and quickly reproducible setup for skeletal traction in unique situations where traction is required during imaging. The apparatus has implications for advanced diagnostic and research-based imaging as well, and all materials should be readily available at any institution frequently performing skeletal traction.