Buck's traction is a specific medical technique often used in the context of orthopaedic medicine to treat injuries to the femur, including the hip and knee joints. It involves applying a pulling force to the affected area through the use of ropes, pulleys, and weights to realign and align broken bones, reduce pain and muscle spasms, and help prevent further complications from immobility.
The basic technique involves wrapping the affected area with a foam stirrup and securing it to the bed or a pulley system. This can be applied both acutely (usually in the emergency department) and continuously during ongoing management to maintain traction. The traction weights should be applied gradually and consistently to avoid causing damage to the skin.
In addition to the physical aspects, there are several potential complications associated with buck's traction, including skin breakdown, nerve功能障碍, compartment syndrome, joint contractures, constipation due to immobility and analgesics, soreness of the heels, peroneal nerve damage, infections of the urinary tract, pin tract infection, loss of muscle mass, and bedsores caused by extended bedrest.
护理中Buck绷带的方法包括评估患者的神经血管状况，监测出血和肿胀，更换内衬，防止足部下垂。在急性期管理中，通常会进行股骨神经阻滞以缓解疼痛，同时在患者接受永久性手术前提供镇痛和消炎药。在进行牵引治疗时，应注意患者的饮食、卫生和排泄需求，并提供适当的心理支持。
总之，虽然Buck绷带是一种常见的治疗方法，但它需要仔细的处理和监测，以确保患者的安全和有效恢复。