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3Skin traction

In the event that there is no Thomas splint available, skin traction over the end of the bed with 7 kg will be the initial treatment of a femoral fracture.

Note: With any longitudinal traction, the foot of the bed must be raised, tilting the bed, to avoid the traction weight pulling the patient down the bed.
With the tilted bed the weight of the patient acts as countertraction.