ORTHOPEDIC
GADGETS
Rymel Shaniah J. Pedong
TRACTION
SKELETAL TRACTION
1) Crutchfield Tong - for cervical 2) Halo Traction - with 4 pin sites;
spine affection also for cervical spine affection
3) Halo-Femoral Traction - for
scoliosis 4) Balance Skeletal Traction - for affection
of the hip and femur
5) Halo-Pelvic Traction - for
scoliosis
6) 90 - 90° Traction - proximal femur
affection specifically sub-trochanteric
area
7) Over-Head Traction - pin is inserted
in the olecranon; for supracondylar
fracture of the humerus
SKIN TRACTION (ADHESIVE)
1) Zero Degree Traction - for shoulder 2) Dunlop Traction - for supracondylar
dislocation, humeral neck fracture, fracture of the humerus
surgical neck fracture
3) Bryant's Traction - for 2 years old
below; for congenital hip dislocation, 4) Buck's Extension Traction - for fracture
fracture of hip and femur of the hip, hip dislocation, fracture of the
femur (place a pillow underneath the leg,
free the heel part from the pillow)
SKIN TRACTION (NON-ADHESIVE)
1) Head Halter Traction - for cervical 2) Cotrel Traction - for scoliosis;
spine affection (place patient on semi- combination of head halter traction
fowler's position; must use a curve bar, and pelvic-girdle traction
clamp, and pulley)
3) Hammock Suspension - for 4) Pelvic Girdle Traction - for HNP, low back
pelvic affection pain (place patient on a trendelenburg
position; must use curve bar, 2 weight bags;
patient must be on complete bed rest with
2-3 pillows underneath the thigh)
5) Foam Traction - with some indication
with Buck's extension; modified buck's
extension traction using commercially
prepared foam
6) Bohler Braun splint - for tibial
plateau fracture (pin is inserted at
the calcaneal bone)
SPECIAL TRACTION
1) Boot Cast Traction -
for patient with hip
and knee contracture
(ex. Post-polio with hip
and knee contracture)
CAST
Things to remember:
• If the affected area is with open wound, infection and swelling- cast to be
applied should be mold and splint only.
• If the affected area only has close type of fracture, no infection and swelling
noted - cast to be applied should be circular.
• If the cast is with depression - it is indicated for patients with callus formation
already.
1. Long Arm Circular Cast (LACC) - for radius-ulna
and/or elbow fracture
2. Short Arm Circular Cast (SACC) - for wrist and/or
carpals and metacarpals affection.
3. Long Arm Posterior Mold (LAPM) - for radius-ulna and/or
elbow fracture with open wound, infection and/or swelling.
4. Short Arm Posterior Mold (SAPM) - for wrist and/or
finger affection: with wound, infection and/or swelling
5. Munster or Fuenster Cast - for the affection
of radius-ulna with callus formation
6. Functional Cast - for proximal humerus with
callus formation
7. Sugar Tong Mold - for compound / open fracture
of the humerus
8. Shoulder Spica Cast - for shoulder-joint
affection, proximal humerus and shoulder
dislocation
9. Long Leg Circular Cast (LLCC) - for
tibia-fibula affection
10. Short Leg Circular Cast (SLCC) - for ankle and
tarsal and metatarsal affection
12. Long Leg Posterior 11. Short Leg Posterior Mold
Mold (LLPM) - for tibia- (SLPM) - for ankle and toe
fibula with open wound affection with open world,
infection and/or swelling infection and /or swelling.
13. Slipper Mold - for metatarsals and
phalanges affection
14. Patellar Tendon Bearing Cast (PTBC) - modified
LLCC for mobilization purposes; for tibia-fibula
affection with callus’s formation
15. Devlit Cast - modified PTB; with callus formation
at the distal 3rd tibia / fibula to allow foot exercise
17. Cylinder Cast -
for patella affection
16. Cylinder Mold - for
patella affection with open
wound, infection and/or
swelling
18. Knee Immobilizer - with same indication with
cylinder mold using commercially prepared material
to immobilize affected leg
19. Internal Rotator Splint - for immobilization
purposes only; patient has no fracture; used for
post-op hip arthroplasty; patient has mold cast
20. Brace Cast - for supracondylar fracture of the femur
with callus formation; and for proximal tibia with callus
formation
21. 1 1/2 Hip Spica Cast - for fracture of the hip
and femur (one leg only; cast is with abduction
bar; leg slightly flexed; positioning/ turning of
patient will be towards the unaffected side)
22. Double Hip Spica - for fracture of
the hip and femur (both legs)
23. Single Hip Spica Cast - for hip and
distal femur affection
24. Ischial Weight Bearing Cast /
Quadrilateral Cast - for femoral fracture
with callus formation
25. Pantalon Cast - for pelvic fracture
from Hammock Suspension traction
26. Frog Cast - for congenital
hip dislocation
28. Rizzer’s
27. Body Cast
Jacket Cast
30. Hanging Cast
29. Minerva Cast
31. Shoulder
Spica Mold
32. Single Hip Spica
Mold
33. Basket
Cast
BRACES
1. Shantz Collar - for cervical 2. Philadelphia collar - for cervical
affection affection; with chin part to restrict
more movement of the patient
3. 4-Poster Brace - for cervical 4. Chairback Brace - for lumbo-
affection specifically lower cervical sacral spine affection, HNP, low
spine and upper thoracic spine back pain
affection
5. Knight Taylor (KT) Brace - for 6. Forrester Brace - for cervical,
thoraco-lumbar or thoracic spine thoracic, and lumbar spine
(upper thoracic)
7. Jewett Brace - to give support to the thoracic
8. Yamamoto Brace - for
and lumbar spine by preventing twisting and
scoliosis (until mid-axillary
flexion (bending forward). It will keep your back
level only)
in the correct position while you are healing
from injury and/or surgery
9. Milwaukee Brace - for scoliosis 10. Banjo Splint - for peripheral nerve
(extended up to the chin, with injury; and fracture of radius-ulna
occiput support) with nerve injury
11. Oppenheimer Splint - for
12. Wrist Strap - for wrist drop;
peripheral nerve injury
also called Cock-Up Splint
specifically radial nerve injury
13. Short Leg Brace - indicated for foot 14. Unilateral Long Leg Brace - for
drop, flat footed and patient with foot post-polio with residual paralysis
imperfections of one leg only
15. Bilateral Long Leg Brace - for 16. Denise Brown Shoes - for congenital
post-polio with residual paralysis anomaly specifically club foot
affecting both legs (Talipes equinovarus)
17. Scottish Rite / Atlanta Brace - for Legg
Calve Perthes Disease (LCPD); also called
Abductor Splint
