Traction VS No Traction for Pain Management of Elderly Hip Fractures

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This dataset shows moderate evidence that does not support routine use of preoperative traction for patients with a hip fracture.

Complexity

Seven moderate strength studies (Anderson et al 17, Finsen et al 18, Needoff et al 19, Resch et al 20, Rosen et al 21, Saygi et al 22, Yip et al 23) compared skin traction to no traction. There was no difference noted between the two groups with regard to decreased pain or decreased doses of analgesia administered. A meta-analysis of the data showed that preoperative traction offered no benefit to hip fracture patients.
One high strength study (Resch et al 24) showed no difference in pain alleviation and number of analgesics administered when comparing skeletal traction to skin traction in hip fracture patients. However, half of the patients in the skeletal traction group found the application of skeletal traction to be painful.

Date Created

2014-09-05

Last Modified

2014-09-05

Version

2014-09-05

Update Frequency

Never

Temporal Coverage

1993-2010

Spatial Coverage

United States

Source

John Snow Labs => American Academy of Orthopaedic Surgeons (AAOS)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hip Fractures, Traction for Hip Fractures, No Traction for Hip Fractures, Traction for Hip Fractures in the Elderly, Neck of Femur Fractures, Intertrochanteric Fractures, Bucks Traction, Femoral Neck Fracture

Other Titles

Traction Versus No Traction: Management of Hip Fractures, AAOS Guidelines on Hip Fracture Management, Traction Versus No Traction: Hip Fractures, Traction Versus No Traction for Pain Management of Elderly Hip and Neck of Femur Fractures, Traction Versus No Traction for Pain Management of Elderly Hip and Intertrochanteric Fractures, Bucks Traction Versus No Traction for Pain Management of Elderly Hip Fractures, Traction Versus No Traction for Pain Management of Elderly Hip and Femoral Neck Fracture

Name Description Type Constraints
StudyDescription of the previous studies used in this research.stringrequired : 1
OutcomeDescription of the reported pain outcomes from the participants in the research study.stringrequired : 1
DurationDescription of the duration of time used for traction or no traction.stringrequired : 1
Group_1Description of the type of traction used in the first group.stringrequired : 1
Group_2Description of the type of traction used in the second group.stringrequired : 1
Population_SizeShows the number of participants or population size in a certain group that received the traction or no traction management.integerrequired : 1 level : Ratio
StatisticDescription of the measurable characteristic of a sample population.string-
ResultResults of the study.numberlevel : Ratio
ProbabilityEffectiveness of the result based on the hypothesis of the study.numberlevel : Ratio
Study_P_ValueStatistical significance of the results of the study.string-
FavorsDescription of which method is more effective.stringrequired : 1
StudyOutcomeDurationGroup_1Group_2Population_SizeStatisticResultProbabilityStudy_P_ValueFavors
Saygi et al 2010VAS Pain1 hourSkin TractionPillow72Mean difference0.040.87NS
Saygi et al 2010VAS Pain4 hoursSkin TractionPillow72Mean difference0.220.21NS
Saygi et al 2010VAS Pain12 hoursSkin TractionPillow72Mean difference0.240.21NS
Resch et al 2005VAS PainAfter immobilizationSkin TractionLasse pillow70Mean difference0.10.88NS
Resch et al 2005VAS PainAfter immobilizationSkin TractionRegular pillow102Mean difference0.50.26NS
Yip et al 2002Pain: visual analogue scaleDay 1Preoperative Foam boot traction with 2 kg weightPillow311>.05NS
Yip et al 2002Pain: visual analogue scaleDay 2Preoperative Foam boot traction with 2 kg weightPillow311>.05NS
Anderson et al 1993VAS PainAdmissionPreoperative Hamilton-Russell skin traction with 2.3kg weightNo traction252>.05NS
Resch et al 1998Pain: doses of analgesicsWhile in orthopedic wardSkin TractionLasse pillow59Mean difference-0.80.08NS
Resch et al 1998Pain: doses of analgesicsWhile in orthopedic wardSkin TractionRegular pillow102Mean difference-0.20.69NS