#trauma see also: [[Pelvic Binder]], [[Femur fractures#Femoral shaft fractures|Femoral shaft fractures]] see: [Robert Hedges - traction splint](x-devonthink-item://31ACDC98-D2CC-48C5-BE69-E9B37E53FA8C?page=1078), [Ambulance Victoria - CT-6](https://cpg.ambulance.vic.gov.au/assets/pdf/CWI/CWI%20OPS%20156%20Application%20of%20CT-6%20Traction%20Splint.pdf), > [!key points] > ***1. You CAN use a traction splint in an ==open femur fracture== !*** > - 2011 update to international trauma life support guidelines recommends use of traction splints on open femur fractures only in the austere environment or when access to definitive care will be significantly delayed > - Try to use copious irrigation to remove foreign materials prior ot application of splint > > ***2. You CAN use a traction splint concurrently with pelvic binder*** > - pelvic binder must be placed first > - Pelvic splinting is a higher clinical priority than splinting of limb factures. > - Traction splints may apply pressure on the pelvis in order to achieve traction, potentially worsening an injury. Legs should be realigned as part of open book fracture management. Splinting can still be used in pelvic trauma/fracture though anatomical splinting may be better depending on pelvic injury and severity # Indications - isolated midshaft femur fracture # Benefits - analgesia - haemostasis # Contraindications - pelvic fractures - hip injury with gross displacement - significant injuries involving the knee - distal tibia-fibula or ankle fracture in the same extremity → can use rigid splint # Types ## CT-6 ![[Pasted image 20250327003846.png]] - can be used in children - ankle hitch should be approximately 15cm beyond bottom of pts foot - place splint beside pt - apply ischial strap to thigh - attatch ankle hitch - initial traction ## Sager ![[Pasted image 20250327003910.png]] ## Ferno-trac ![[Pasted image 20250327003931.png]]