Skin Traction Versus Position Splint in Patients With Hip Fracture

Study Overview
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Brief Summary
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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.

Official Title
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The Effects of Preoperative Skin Traction and Position Splint on Pain, Comfort and Satisfaction in Patients With Hip Fracture

Conditions
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Hip Fractures, Complication of Traction Procedure, Pain, Splints

Intervention / Treatment
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* Device: Derotation splint
* Device: elastic bandage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: 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

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Skin traction<br>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). | Device: elastic bandage<br>* This group is the routine treatment (control) valid in the clinical practice.<br>|
| Experimental: Position splint<br>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. | Device: Derotation splint<br>* This group is the actual intervention group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain | 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. | up to 7 days | 
| Comfort | 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. | up to 7 days | 
| Satisfaction from the treatment | Satisfaction from the treatment was assessed by VAS score from the next day after intervention till the surgery. | Up to 7 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Complications | 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. | Up to 7 days | 
| Surgery duration | Time that the surgical procedure has taken was assessed. | participants were followed for the duration of surgical procedure, an average of 2 hours | 
| Hospitalization duration | Time spent in the hospital till discharge was assessed. | participants were followed for the duration of hospital stay, an average of 2 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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comfort, satisfaction