Chapter 17 Calcaneal Skeletal Traction
Precautions
1. The pin should be inserted from the medial aspect to avoid injury to the medial calcaneal nerve and lateral plantar nerve.
2. Ensure that the pin is placed with use of the sterile technique. Do not place pins through or near open wounds.
3. Ensure that the pin is placed perpendicularly to the axis of the limb and in a straight horizontal plane.
5. Once traction has been established, ensure that the traction bow is not in contact with the skin.
Pearls
2. Insertion of calcaneal traction can be completed under local anesthetic, but conscious sedation is preferred.
4. If the patient is going to go to the operating room for definitive fixation shortly after placement of calcaneal traction, elective intubation prior to placement may be prudent.
5. Before placement of calcaneal traction, ensure that the patient is on a bed that is capable of having a traction frame attached to it.
6. Placement of a pin is easiest when all the equipment is organized. Having two bedside tables facilitates organization and maintenance of a sterile environment.
