Buck’s Traction Nursing Care Essay.

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What is Traction?

Traction is a method for readjusting a broken bone or dislocated part of the body using weights, pulleys, and ropes to gently apply pressure and pull the bone or injured body part back into position.

If you fracture a bone, tractions will be used to restore the position of the bone during the early stages of healing or to ease the pain while you are waiting for further surgery.

Benefits of Traction.

Traction has many benefits. One of its main benefits is stabilizing a fracture or restoring tension to the surrounding tissues.

The following are the several benefits of traction:

  • Steady and readjust a broken bone or dislocated part of the body.
  • Tractions help to restore the normal position of the bone that’s been fractured.
  • It helps to relieve pressure on nerves, especially spinal nerves
  • Buck’s traction nursing care is used to treat bone deformities
  • Stretch the neck to reduce pressure on the spine by rearranging the vertebrae.
  • Traction helps to temporarily reduce pain before corrective surgery
  • Traction is used to reduce or eliminate muscle spasms and constricted joint, muscles, and tendons.

Dangers of Performing Traction.

The following are the several risks associated with performing traction procedures on patients:

  • In certain cases, nerve or vascular harm occurs as a result of severe edema.
  • A bad anesthetic effect
  • Excessive bleeding from the location of a skeletal traction pin or screw
  • An infection at the site of the pin or screw insertion
  • In situations of skin fracture, damage to adjacent tissue or skin occurs.

4 Types of Traction.

There are several types of traction that can be performed on different parts of the body. Some of the main types of traction are namely:

  1. Skeletal traction.
  2. Skin traction.
  3. Buck’s traction and
  4. Cervical traction.


Skeletal traction.

Skeletal traction is used for fractures of the following bones and parts of the body:

  • The femur (thighbone),
  • Pelvis,
  • Hip and,
  • Certain upper arm fractures.

The most common method of skeletal traction is to put a pin or wire directly into the bone, then connect weights to it via pulleys or ropes that control the amount of pressure given. It can also be utilized for fractures that require a lot of stress to be delivered directly to the bone because it enables greater weight to be added with less chance of harming the soft tissues around it. If you require bone traction, it will be performed under anesthesia to ensure that you do not suffer undue pain.

Skin traction.

Skin traction is less intrusive than skeletal traction since it involves splints, bandages, and adhesive tapes that are applied directly to the skin on the limb near the fracture. Pressure is applied by attaching weights and pulleys. Muscles and tendons can pull the extremities into a shortened or bent position when a bone breaks. The fractured bone or dislocated joint can be held in place by traction. This might result in painful movement and muscular tightness at the fracture site. Buck’s traction is a form of skin traction that is commonly used to treat femoral, hip, and acetabular fractures, which are fractures of the “ball-and-socket” hip joint’s socket part.

Buck’s traction

When performing a buck’s traction, a single pulley is used to apply longitudinal skin traction to an extremity while maintaining the leg extended and without hip flexion. It is used to heal fractures, straighten damaged bones, correct contractures or abnormalities, and immobilize the knee.

Cervical traction.

When the neck vertebrae are shattered, cervical traction is utilized. In this type of traction, a device rings the head and connects to a harness worn around the body like a vest. By pushing and straightening the vertebrae, the ensuing stretch to the neck relieves strain on the spine.

What is Buck’s Traction?

Buck’s traction involves using a single pulley to apply longitudinal skin traction to an extreme while maintaining the leg extended and without hip flexion. This type of traction is used to heal fractures, straighten damaged bones, correct contractures or abnormalities, and immobilize the knee.

Buck’s Traction Nursing Care.

Nurses who are assigned to the medical-surgical or orthopedic unit must be aware of the various nursing care plans for their patients. The nurse is required to check the vital sign of the patients, especially the elderly patients with bone fractures since they are more predisposed to fat embolism which can be life-threatening.

Before placing buck’s traction procedure, the nurse must prepare the patient for the operative procedure. Afterward, the nurse is supposed to make pain relief or pain management a priority. Therefore, the nurse must ensure that they provide pain relievers per the doctor’s comment. Nurses must also assess that the position of the traction is well-aligned and that the weights are freely hanging.


Once the fracture is already aligned, the traction is removed. The nurse then provides health teachings in taking care of the newly-healed bone such as protecting it from further trauma and checking the site for signs of infections.


Buck’s traction nursing care demands patience and close monitoring by a nurse from the moment the patient is admitted until he/she is discharged. Thus, nursing students should ensure that they gain the nursing skills required to take care of these types of medical conditions.

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