Traction Splint (Sager Splint)

Question 1

General

Answer 1

• Only used in stable PTs w/ isolated mid-shaft femur fracture
• Upon application it aligns bone fragments, restores near normal tissue pressure (reducing further blood loss & tissue injury) & decreases pain

If PT is NOT stable don’t delay transport to apply traction splint on scene. Follow packaging guidelines for RTC lower limb fractures.

Question 2

Indications

Answer 2

Stable PT with open/closed, mid-shaft femur fracture

Question 3

Contraindications

Answer 3

• Pelvis/Hip Injuries
• Injuries distal to femur fracture (I.e. full/partial amputation, lower limb fracture/dislocation)

Question 4

Traction

Answer 4

• Closed mid-shaft fracture: apply traction at 10% of body weight to a max of 15lbs
• Compound mid-shaft fracture: apply traction at 5 lbs of traction

Question 5

Application

Answer 5

1. Initiate pain management protocol
2. Lay PT supine
3. Apply splint using STAPLES acronym
4. Continually assess neurovascular function throughout application/further treatment (❤️ = bilateral pulse checks)

Question 6

STAPLES Acronym

Answer 6

Size - Ensure splint is appropriately sized and the pulley-wheel/saddle is adjusted for injured leg
Thigh-Strap - Place splint between legs & secure the thigh strap. Be sure the saddle is placed correctly against the PTs ischial tuberosity
Ankle Strap - Secure ankle strap above malleolus
Padding - Apply padding when necessary, be sure not to create pressure points
Lbs. - ❤️ Apply appropriate traction
Elevate/Elastic Strap - ❤️ Elevate the pulley wheel & secure splint to legs. Place straps above and below fracture site, & one on lower leg
Strap ❤️ + Reassess Traction - Apply blanket between legs & strap legs together, above & below fracture site & to secure lower legs