Page 6 - Orthopedic Casts and Splints2

Performance Steps

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Bryant Traction

NOTE: Inform parent(s) that Bryant's traction is used to stabilize both hips/legs and assist in
alignment of bones. A towel/sheet is draped over the child's hips with the towel/sheet secured (pinned)
to the outside of bed to reduce child's movement. Adhesive vent foam straps with spreader blocks
are applied to each leg and secured with elastic bandages. Two traction cords are then tied to the
each of the spreader blocks with the opposite ends of the traction cords tied to the weight carriers. The
prescribed weight plates are then added to the weight carrier. The legs will be positioned vertically
with the buttocks 2 inches off the bed.(Refer to Figure 3-x)
7. Position the child(supine) in the middle of the bed.
NOTE: Have parent(s) console the child to assist in keeping the child calm and supine throughout the
procedure. Nursing personnel may assist if parent(s) are not available.
8. Set up overhead traction frame for a crib.
NOTE: If child is in a crib continue with step 8. If child is in an orthopaedic bed go to step 9.
a. Attach clamp bars to crib.
(1) Secure 66 inch swivel clamp bar with panel clamp (upper and lower) to foot of the crib.
(2) Secure 27 inch single clamp bar to the swivel clamp bar so that, bar extends over the
child.
(3) Secure 36 inch center clamp bar to 66 inch swivel clamp bar at foot of crib.
(4) Secure 36 inch center clamp bar horizontally to the 27 inch single clamp bar and
position directly above the child's hips.
b. Attach pulleys to clamp bars.

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