Finsen V, Børset M, Buvik G E, Hauke I
Department of Surgery, Orkdal Sanitetsforenings Hospital, Orkanger, Norway.
Injury. 1992;23(4):242-4. doi: 10.1016/s0020-1383(05)80007-5.
A series of 80 patients with cervical, trochanteric or subtrochanteric hip fractures were randomized to either treatment without traction, skin traction, or skeletal traction during the 1883 h between admission and operation. The institution of skin or skeletal traction was not particularly painful for the patient, but we found no indication that either was of discernible benefit. The number of analgesic medications needed was no higher in patients without traction. We conclude that traction should not be administered routinely to patients awaiting operation for hip fracture.
80例颈椎、转子或转子下髋部骨折患者在入院至手术的1883小时内被随机分为不牵引治疗组、皮肤牵引组或骨牵引组。皮肤或骨牵引的实施对患者来说并不是特别痛苦，但我们没有发现任何迹象表明这两种牵引方式有明显益处。不牵引患者所需的止痛药物数量并不更高。我们得出结论，对于等待髋部骨折手术的患者，不应常规进行牵引。
