ORTHOPEDIC EQUIPMENTS

TRACTIONS

TRACTION-Is the act of pulling and drawing which is associated with counter
traction

TYPES OF TRACTIONS:

Fixed Traction

 traction is applied against a counter force while the pull is continuous and
intact

 Example: Hare Traction used by paramedics during rescues

Sliding Traction

 The patient’s weight is balanced against an applied load making use of the
gravitational pull to counter balance the applied traction

 Example: Crutchfield Tong while the bed is tilted by shock blocks

TRACTION APPLICATION:

Skin

- adhesive straps are applied to the skin while the pull is offered by a weight

Skeletal

- a pin is driven across the bone to provide an excellent hold while the weight is
likewise attached

THE THEORY BEHIND TRACTION:

By applying weights to injured or diseased bones and muscles, you pull them into
alignment, immobilize them and allow them to heal properly
COTREL

HALO PELVIC

 Scoliosis

BRYANT’S SKIN TRACTION

 Femoral Fractures, Hip Injuries

among kids below 3 years old

BOOT CAST TRACTION

 Hip and Femoral affection

HALO FEMORAL
 Post polio/ Knee Contracture
 Severe Scoliosis
 90 - 90 DEGREES

 Subtrochonteric Fracture of
Femur

FORESTER

BRACES TAYLOR

MILWAUKEE BRACE
 BILATERAL LEG BRACE

SHANTZ COLLAR

BANJO SPLINT
CASTS & MOLDS

PLASTER CAST

- a temporary immobilizing
device which is made of gypsum
sulfate rendered anhydrous by
calcinations when mixed with water,
swells and forms into a hard cement

BODY CAST

1 ½ HIP SPICA

CAST BRACE

 To allow flexion and extension

 Fracture of the distal 3rd Femur

& proximal 3rd of fibula & fibula

FIBER CAST
 ORTHO
HARDWARE

HYBRID EXTERNAL FIXATOR

BODY CAST

ROGER ANDERSON
EXTERNAL FIXATOR
ROGER ANDERSON

ILIZAROV EXTERNAL FIXATOR

NAIL EXTRACTOR- IMN

DAY 1

Today we had an orientation at P.O.C but unfortunately we were late so our

orientation removed to 11am after we oriented by the chief nurse of the Philippine
Orthopedic Center we went home. After that Mam Salas gave our assignments to
everyone.

DAY 2

On the 2nd day of our duty we had a tour on the ward like male, female and
most especially the children’s ward, I was shocked and amazed also because one of
the patient’s has a pott’s disease or also called TB of the bone and it is located at
her spine at the T2-T5. I hope she will get well soon.

DAY 3

Third day of our duty we had a tour again to the ward but in the spinal ward,
they were all naked only the pampers were wearing of the patients then we took a
picture to any department of the Hospital like in OPD. At 4 o’clock in the afternoon,
mam Salas told us to review for our return Demonstration on Balance Skeletal
Traction, as we go along we performed it very well and all in all it was a great
Demo.

Jefferson G. Espayos
BSN IV-6

Group 25

Philippine Orthopedic Center

 A documentation submitted by:

Group 25 – NCM 105

Agapito, Elcar

Cruz, Jonel

Espayos, Jefferson

Galvez, Jofher Dune

Manuzon, Phoebe Eunice

Palban, Reina Fatima

Rivera, Peter John

Salapong, Edgardo jr.

So, Harley David

Suarez, Gustav Philippe Anton

Villanueva, Mark Angelo

The Philippine Orthopedic Center is a 700 bed tertiary special Hospital

under the Department of Health of the Republic of the Philippines. The
hospital is located at Ma. Clara Cor. Banawe Sts, Sta Mesa heights, Quezon
City.

MISSION

The P.O.C. is committed to deliver accessible and the highest quality

orthopedic and rehabilitation and other related services that respond to the
needs of Metro Manila Community and other areas all over Luzon, Visayas
and Mindanao.
 VISION

We Pledge to provide our patients with the utmost quality service through a
caring and competent staff prepared to utilize world class technology.

GENERAL OBJECTIVE

To operate the highest attainable quality and safe level of orthopedic and rehabilitation and other
related services with the resources made available to the center.

History

The Philippine Orthopedic Center (POC) was originally organized in

Mandaluyong, Rizal by the American Army in 1945 as the Philippine Civil
Affairs Unit (PCAU) No. 1, to take care of civilian casualties during the
liberation of Manila and its suburbs. After it was turned over to the Philippine
government, its functions were redirected to look after accident victims and
orthopedic cases. Its name was later changed to Mandaluyong Emergency
Hospital then, to National Orthopedic Hospital.

In 1963, the hospital was relocated to Quezon City. Its authorized bed
capacity was increased from 200 to 500 then to 700. The hospital through
the Hospital Chief, Benjamin V. Tamesis, MD, pioneered the introduction of
Physical Therapy and Occupational Therapy courses in the Philippines. Both
courses were later absorbed by the University of the Philippines and was
placed under the College of Medicine, then later became the School of Allied
Medical Professions, now known as College of Allied Medical Professions.

In 1982, it was re-named National Orthopedic Hospital-Rehabilitation Medical

Center (NOH-RMC), and again to Philippine Orthopedic Center in 1989, by
virtue of Batas Pambansa No. 301 and Republic Act 6786, respectively.

Services

The Philippine Orthopedic Center caters mainly to a patient clientele with

Orthopedic and Neuromuscular conditions. The Center is also the major
referral center for Spinal injuries in the country.

The Medical Division consists of the Trauma Services, Adult Orthopedic

Service, Children's orthopedic service, Tumor Unit, Hand service and Spine
Surgery service. The hospital also has the Anaesthesia department,
Radiology Department, Rehabilitation Medicine Department, Laboratory
Department, Specialty Service and Dental service. The Laboratory
Department is divided into the Blood Bank, Bacteriology unit, and Clinical
Pathology,

Its Rehabilitation Medicine Department has the Medical Rehabilitation

Service, Physical Therapy section, the Occupational Therapy Section,
Psychology Section, Electrodiagnostics Unit, Neurology Service and the
Prosthetics and Surgical Appliance Factory. The specialty service includes
General Surgery, Neurosurgery, Urology, Neurosurgery, Internal Medicine
(pulmonary and cardiology) and Diabetes Care. The Nursing Division
comprises both the main Nursing service and the Nursing training service.
The Social service and Chaplaincy is being placed under the Administrative
office.

December 6, 2010

First day of duty at Philippine Orthopedic Center, we are excited to have our
RLE there. We are scheduled to have an orientation that morning, we were
delayed for a few minutes because we had a hard time going there because
none of us knew the way to go there. The orientation lasted for almost an
hour and it tackled the history, the specialties, the programs, the rules and
regulations, and the requirements of the hospital. We also had the
demonstration of the Balanced Skeletal Traction procedure, done by the
senior nurses of the hospital. After the orientation, we are dismissed after we
were oriented of the group requirement set by our clinical instructor.

December 8, 2010

Second day of duty at P.O.C., immediately after keeping our bags at the
student’s room, we had a tour of the different wards of the hospital. We first
came to see the children’s ward, we were saddened by the looks of the
patients in that ward. The patients there look very weak, with different
disorders and fractures. We observed two patients with Pott’s disease, and it
breaks our hearts to see them suffering at a very young age. The patient is
very irritable. After there, we went to the second floor, the male ward. There
we saw the different tractions, casts, and fixators. We also had the chance to
interview one patient who is a foreigner, he is very accommodating to our
questions and cooperates very well. He had only one question for us, “Why
be a male nurse?” then he laughs and states that it is only a joke. We also
went to the female ward and did the same things. Later that afternoon, we
head straight to the Hardware. There we discussed the different equipments
used in the hospital. The tools were similar to those of the carpenters. We
also had observed the x-ray films of the patients showing the screws and
equipments inside their bones.

December 13, 2010

Third day of duty at P.O.C., the first thing we did is to go to the ward of the
patients with spinal cord injury, all of the patients there are wearing only
underwear. They have nurses helping them with ROM exercises because
they cannot move for themselves. We interviewed one patient and he told us
that the cause of his injury is from a fall from a tree. He’s been paralyzed for
3 months already. He’s currently undergoing therapies. Later that day we
had our return demonstration of the Balance Skeletal Traction procedure.

Harley David A. So

IV- 6 Group-25

NCM 105