Utilidad de la tracción preoperatoria en la fractura de cadera

Abstract

Hip fracture is a serious clinical event which requires surgery in the vast majority of cases. In the period of time between admission and intervention, which may vary depending on many factors, skin traction in the affected member is traditionally applied to immobilize the limb and thus relieve pain. Furthermore, some surgeons maintain that this practice better reduces fracture risk, avoiding muscular contraction, which may facilitate the surgical process. Its use is recommended in managing protocols for this patient group in some hospitals, although some question this practice as lacking evidence to support it. On the other hand, it is not harmless, with a number of reported complications which raise questions about its routine use. This paper reviews the main studies carried out, with the objective of making a recommendation for the clinical management of this issue based on available evidence.