a Deformed Extremity
Grasp elbow and manually apply distal traction.
Plaster splint in alignment.
Secure with sling.
Manually apply distal traction through wrist, holding elbow and
Splint and elevate.
Realign with manual traction through ankle (if tib and fib not #'d)
As muscle spasm is overcome, leg will straighten and rotational
deformity can be corrected.
May take several minutes depending on pt size.
Manually apply distal traction at ankle and countertraction above knee.
(Provided femur is intact).
Immediately consult relevant surgeon if neurovascular injury.
* If splinting worsens neurovascular
status, remove splint and return position of limb where nv status
maximised; then immobilise in that position.