Skin Traction Versus Position Splint in Patients With Hip Fracture
- Conditions
- PainHip FracturesSplintsComplication of Traction Procedure
- Interventions
- Device: Derotation splintDevice: elastic bandage
- Registration Number
- NCT02287571
- Lead Sponsor
- Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
- Brief Summary
The aim of this prospective, randomized controlled trial is to compare the effects of preoperative skin traction and position splint on pain, comfort, complications, difficulty level of nursing interventions, satisfaction from treatment and nursing care in patients with hip fracture. The sample is comprised of 34 patients with hip fracture in each group, totally 68 patients. Skin traction and position splint were applied after block randomization. Data regarding pain, comfort, satisfaction from care, immobilization comfort, complications, time of operation and hospitalization time were collected after intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 68
- Being inpatient who were planned the surgery due to the hip fracture (caput femur fracture, collum femur fracture, femur intertrochanteric fracture and subtrochanteric fracture) diagnosis in the Orthopedics and Traumatology Clinic
- Being 50 years old or more
- Patients who speak and literate in Turkish
- Patients who gave informed consent to participate in the study
- Any condition that emerges an obstacle for verbal and written interaction during data collection phase
- Unable to perform written or verbal communication in Turkish
- Withdrawal from the study due to medical reasons or death, at his/her will prior to preoperative data collection
- Urgent non-elective surgery
- Physician decision that do accept the method of immobilization assigned to the patient as appropriate
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Position splint Derotation splint Prior to hip fracture surgery, position splint was applied to the affected limb in order to keep the extremity in the proper positon without any weight lifting. Skin traction elastic bandage Prior to hip fracture surgery, affected limb was wrapped with a special elastic bandage and pulled from the sole of the foot with a weight of 5-10% of total body weight of the patient (min 2.3 kg, max 4.5 kg).
- Primary Outcome Measures
Name Time Method Satisfaction from the treatment Up to 7 days Satisfaction from the treatment was assessed by VAS score from the next day after intervention till the surgery.
Pain up to 7 days Pain was assessed by VAS score prior to intervention, 15, 30, 60 and 120 minutes after intervention and daily from the next morning of intervention till the surgery.
Comfort up to 7 days Comfort was assessed by VAS score prior to intervention, 15, 30, 60 and 120 minutes after intervention and by Immobilization Comfort Questionnaire daily from the next morning of intervention till the surgery.
- Secondary Outcome Measures
Name Time Method Complications Up to 7 days Complications (pressure ulcer, deep vein thrombosis, allergic skin reaction, pulmonary and urinary tract infection and constipation due to immobilization) were evaluated daily after intervention till the surgery.
Surgery duration participants were followed for the duration of surgical procedure, an average of 2 hours Time that the surgical procedure has taken was assessed.
Hospitalization duration participants were followed for the duration of hospital stay, an average of 2 weeks Time spent in the hospital till discharge was assessed.
Trial Locations
- Locations (1)
Gulhane Military Medical Academy
🇹🇷Ankara, Turkey