OFFICE OF THE SCHOOL OF NURSING

RESOURCE UNIT FORM CODE:

01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

School of Nursing
NCM 116 Related Learning Experience
Resource Unit
S.Y. 2022- 2023

LEARNING OBJECTIVES

1. Learn the different orthopedic hardware and gadgets.

2. Identify the different functions of each orthopedic hardware and gadgets.
3. Discuss nursing management for the patient with casts, braces, and tractions.
4. Identify the parts of the bones that are usually applied with different hardware and
gadgets.

TRACTION

An act of pulling and drawing associated with counter traction.

PURPOSE OF TRACTION
1. For immobilization
2. To correct & prevent deformity.
3. To prevent or lessen muscle spasm and pain.
4. Prevent further fracture.
5. To maintain good body alignment
6. For Support
PRINCIPLES OF TRACTION
1. The patient must be in a supine or dorsal recumbent position.
2. The traction must be continuous.
3. There must be a counter traction.
4. There should be no friction.
5. The line of pull must be in line with the deformity.
HOW TO PREVENT FRICTION
1. There should be no knots near the pulley.
2. Weights should be hanging freely.
3. Cords should be running along the groove
of the pulley.
4. Observe for the wear and tear of the ropes
and the bags.
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

THE BALANCE SKELETAL TRACTION

THE ACT OF PULLING AND DRAWING WHICH IS ASSOCIATED WITH COUNTER TRACTION

PREPARATION
1. Check the doctor’s order

a. Patient’s name
b. Extremity to be placed on BST.
c. Weights to be applied.
2. Prepare patient psychologically
a. Introduce yourself to patient.
b. Inform patient on what is to be done.
c. The purpose of the treatment
d. Expectations of the patient to nurse
e. Nurse’s expectations from patient

PREPARE THE ORTHOPEDIC BED

Balkan
Frame
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

Pulleys

Clamps

Firm Mattress

PREPARE EQUIPMENTS NEEDED

Prepare the materials needed.

Fracture board

Thomas splint (with half ring) and

Pearson’s attachment

Braun bohler splint

Slings
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

Rest Splint

Steinmann’s pin holder

Foot pedal or
foot board

3 sash cords:
a. Thigh rope

b. Traction rope

c. Suspension rope

2 weight bags:
a. Traction weight
(10 % of pt’s. body weight)
b. Suspension weight
( ½ of traction weight)
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

PRINCIPLES IN THE
APPLICATION OF SLINGS

1. Start application from the medial aspect of the Thomas splint & fasten at the lateral aspect
with clips or pins (to prevent injury)
2. Apply slings snugly, not too tight (so as not to impede circulation) nor too loose (which
defeats the purpose of support)
3. The smooth surface of the slings should come in contact with the patient’s skin
(To prevent skin irritation)

PRINCIPLES IN THE
APPLICATION OF SLINGS

4. Provide approximately an inch space between slings (for ventilation)

5. If slings are too long, fanfold it
6. Number of slings will vary with size of patient’s leg
7. Keep the ankle and the popliteal area free from slings (these are highly vascular areas)
8. The broader and longer slings are for the thigh area while the narrower and shorter ones
are for the leg area
THE KNOTS

COMPLICATIONS OF TRACTION
1. Pneumonia
2. Bedsore
3. Urinary & Bladder problem
4. Bowel Elimination
5. Infection
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

6. Deformity

NURSING CARE OF PATIENTS IN TRACTION

1. Hygiene and comfort
a. Hair shampoo d. Oral care
b. Bed bath e. Ear care
c. Perineal care f. Nail care

2. Prevent infection
a. Observe insertion site.
b. Proper cleaning of site
c. Proper handwashing

NURSING CARE OF PATIENTS ON TRACTION

3. Proper nutrition:
a. Calcium – bones
b. Protein - tissue repair
c. Roughage - elimination
d. Vit. C – resistance and wound healing
e. Vit. K
f. Vit. D
g. Iron
4. Prevent pressure sores
a. wrinkle-free linens
b. keep skin dry.
c. massage bony prominences
d. swinging with the use of the overhead trapeze

5. Exercises of unaffected extremity

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

a. ROM
b. Flexion and extension
c. Quadriceps setting exercise.

NURSING CARE OF PATIENTS ON TRACTION

6. Prevent pulmonary problems

a. deep breathing and coughing exercises.
b. back tapping
c. increase fluid intake

7. Diversional activities
8. Attend to any complaint of the patient

TYPES of TRACTION

1. Manual Traction- A pulling force applied by the hands of the operator

2. Skeletal Traction The pulling force is applied directly to the bone using pins and wires
such as KIRSHNER’S WIRE, STEINMAN’S PIN, VINKE’S SKULL RETRACTOR, AND
CRUTCHFIELD TONGS.

Example: affection of the femur, cervical spine, or hip

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

KIRSCHNER’S WIRE HOLDER

Affection of the radius & ulna Thinner than the Steinmann’s pin

STEINMANN’S PIN HOLDER

Affection of the humerus, femur, tibia, fibula
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

CRUTCHFIELD TONG

Affection of Upper dorsal cervical spine Inserted at parietal area.

BALANCED SKELETAL TRACTION

Hip and Femur affection.

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

OVERHEAD TRACTION

Affection of Supracondylar of Humerus

NINETY-NINETY DEGREES TRACTION

Subtrochanteric and P3rd fracture of the Femur

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

HALO- PELVIC TRACTION

For C - TYPE SCOLIOSIS

HALO-FEMORAL TRACTION

For S - TYPE SCOLIOSIS

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

BOHLER BRAUN SPLINT

rd
Fracture of Proximal 3 & Middle 3rd of tibia-fibula Supports the lower leg.

3. Skin traction the application of a pulling force to the skin from where it is transmitted to
the muscles and then to the bones

TYPES OF SKIN TRACTION

A. ADHESIVE TYPE
Materials Used: Wooden spreader Wadding sheet Elastic bandage Adhesive tape
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

BRYANT’S TRACTION

Congenital Hip Dislocation for children 0-3 y/o

BUCK`S EXTENSION TRACTION

Affection of hip & femur for children above 3 y/o

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

DUNLOP TRACTION

Supracondylar Fracture of the Humerus

ZERO DEGREE TRACTION

Neck of Humerus and Shoulder joint

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

TYPES OF SKIN TRACTION

B. NON- ADHESIVE
Materials Used: Metal spreader Slings, canvass, Leather, foam Straps with buckle and
laces.

HEAD HALTER TRACTION

Cervical spine affection

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

PELVIC GIRDLE TRACTION

For Lumbo-Sacral Spine affection

For HNP (Herniated Nucleus Pulposus)
COTREL TRACTION

Combination of Pelvic Girdle and Head Halter Severe SCOLIOSIS

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

HAMMOCK SUSPENSION TRACTION

For pelvis affection (ex. Malgaigned fracture)

MODIFIED BUCK’S EXTENSION TRACTION

For hip & Femur Affection

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

BOOT CAST TRACTION

For POST-POLIOMYELITIS W/ RESIDUAL PARALYSIS

CIRCO-ELECTRIC BED

TO TURN PATIENT THROUGH VERTICAL SEQUENCE

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

STRYKER FRAME BED

TO TURN PATIENT THROUGH HORIZONTAL SEQUENCE

CAST
A TEMPORARY IMMOBILIZING DEVICE

PLASTER OF PARIS
made of gypsum sulfate Drying takes 1-3 days.

FIBER GLASS
made of polyurethane Lightweight and dries in 20-30 minutes.
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

MOLD
Used for splinting the affected part of the body with an open wound,
inflammation, abrasion, swelling, or infection.

FUNCTIONS OF CAST:
1. To correct or prevent a Deformity
2. To support, maintain, and protect
realigned bone
3. For Immobilization
4. To obtain a Mold of a limb
to serve as a model in
making an artificial limb
5. To promote Healing and early
weight - bearing

PRINCIPLES IN THE APPLICATION OF CAST

1. Apply padding first before applying cast

2. Apply cast by including the joint above &
the joint below the affection
3. Apply cast in circular motion and smoothen
with the palm
4. Support with the palm

CONTRAINDICATIONS
1. Pregnancy
2. Skin Disease
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

CAST SYNDROME
1. IMPAIRED VENOUS CIRCULATION
A. SWELLING
B. PAIN / DISCOMFORT
C. CYANOSIS OF NAIL BEDS
D. MUSCLE SPASM
2. IMPAIRED ARTERIAL SUPPLY
A. SLOW CAPILLARY REFILL
3. ABDOMINAL PRESSURE
4. FEELING OF TIGHTNESS OR BLOATING
5. INABILITY TO TAKE DEEP BREATH

Plaster Sores

1. Burning, itching, or stabbing pain

2. Disturbed sleep
3. Elevated temperature
4. Heat and swelling of the digits
5. Visible pus or staining of the cast

Nerve Damage
1. Deep pain in the feet and legs
2. Loss of sensation in the legs and arms
3. Muscle twitching, cramping, weakness
4. Feeling bloated / heartburn after eating only a little food
5. Vomit food that has not been digested well
6. Problem with swallowing
7. Either loose stools or hard stools
8. Light-headedness / fainting on standing
9. Sudden fatigue, sweating, shortness of breath, nausea, and vomiting
10. Problems with erections; Women may have vaginal dryness or orgasm problems
11. Either there is leaking urine or unable to empty bladder

12. Too much sweating

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

MATERIALS NEEDED IN CAST APPLICATION

1. Stockinette
- directly in contact with the skin

3.Plaster of Paris/ fiberglass - casting material

2. Wadding sheet - serve as padding

EQUIPMENTS NEEDED IN THE APPLICATION OF CAST

1. Electric cast cutter

♦ used in windowing, bivalving & cast removal

2. Trimming knife
Smoothen the edges of cast.
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

EQUIPMENTS NEEDED IN THE APPLICATION OF CAST

4. Bandage Scissor
to cut wadding sheet & stockinette
3. Cast Spreader
to widen a bivalved cast

Windowing
Putting a square / rectangular hole on the extremity with cast where there is an open wound
for the purpose of visualization, inspection, dressing, as well as application of medications.

Bivalving
Cutting the cast into two from the upper portion to the bottom part
❖ To relieve cast tightness
❖ To facilitate X-ray
❖ To allow inspection of extremity with cast
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

Reinforcement

Reapplication of Plaster of Paris for the purpose of regaining its strength in case of the cast
getting wet which resulted to its instability.
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

NEUROVASCULAR ASSESSMENT FOR PATIENT WITH CAST

(Maggie Chewed Nuts Everywhere She Went)
Movement
Color
Numbness
Edema
Sensation
Warmth
HOW TO APPLY A CAST

1. Measure stockinette and apply to cover the area and extend about 10 cm beyond each end
of the intended splint site

❖ Generally, a stockinette 2 to 3 inches wide is used for the upper extremities and 4 inches
wide for the lower extremities.
2. Apply the wadding sheet in circular motion
3. Extend 2 to 3 cm beyond the intended edges of the splint, with extra padding at each end
of the intended splint border
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

4. Wrap the casting material circumferentially, with each roll overlapping the previous layer
by 50 percent
5. Just before the final layer of casting material is applied, the physician should fold back
the stockinette and padding, and then apply the final layer, moulding the cast while the
materials are still malleable

HOW TO APPLY CAST

6. Smoothen the cast with your palm to avoid indentions

7. Allow to dry

COLLAR CAST
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

CERVICAL SPINE

BODY CAST

LOWER THORACIC & UPPER LUMBAR SPINE

MINERVA CAST

◼ C - TYPE SCOLIOSIS
◼ UPPER THORACIC & UPPER DORSAL SPINE
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

RIZZER’S JACKET

 S - TYPE SCOLIOSIS
 THORACO - LUMBAR SPINE

SHORT ARM CIRCULAR CAST

CARPALS & METACARPALS

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHORT ARM POSTERIOR MOLD

CARPALS & METACARPALS W/ OPEN WOUND, INFLAMMATION, SWELLING

LONG ARM CIRCULAR CAST

RADIUS - ULNA
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

LONG ARM POSTERIOR MOLD

RADIUS - ULNA AFFECTION W/ OPEN WOUND, INFLAMMATION, SWELLING

FUNCTIONAL CAST
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHAFT OF HUMERUS WITH CALLUS FORMATION

FUENSTER / MUNSTER CAST

RADIUS - ULNA WITH CALLUS FORMATION

HANGING CAST
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHAFT OF HUMERUS

SUGAR TONG

COMPOUND FRACTURE OF HUMERUS

SHOULDER SPICA CAST

HUMERUS AND SHOULDER JOINT

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

AIRPLANE CAST

SHAFT OF HUMERUS WITH CALLUS FORMATION

THUMB SPICA CAST

FIRST METACARPAL BONE

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

PANTALON CAST

FRACTURE OF THE PELVIS

SINGLE HIP SPICA CAST

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

ONE HIP AND ONE FEMUR

ONE AND-ONE-HALF HIP SPICA

BOTH HIPS & 1 FEMU

DOUBLE HIP SPICACAST

BOTH HIPS AND FEMUR

TB OF THE HIPS
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SINGLE HIP SPICA MOLD

ONE HIP AND FEMUR WITH OPEN WOUND, SWELLING, INFLAMMATION

FROG CAST

CONGENITAL HIP DISLOCATION

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHORT LEG CIRCULAR CAST

TARSALS AND METATARSALS

SHORT LEG POSTERIOR MOLD

TARSALS & METATARSALS W/ OPEN WOUND, SWELLING, INFLAMMATION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

LONG LEG CIRCULAR CAST

TIBIA – FIBULA

LONG LEG POSTERIOR MOLD

TIBIA - FIBULA W/ OPEN WOUND, SWELLING, INFLAMMATION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

WALKING CAST

TARSALS & METATARSALS W/ CALLUS FORMATION

PATELLAR TENDON WEIGHT- BEARING CAST ( PTB )

TIBIA – FIBULA W/ CALLUS FORMATION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

DELVITT CAST

rd
DISTAL 3 TIBIA - FIBULA W/ CALLUS FORMATION

QUADRILATERAL CAST / ISCHIAL WEIGHT BEARING CAST

SHAFT OF FEMUR WITH CALLUS FORMATION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

CYLINDER CAST

FRACTURE OF THE PATELLA

CYLINDER MOLD

PATELLA W/ OPEN WOUND, INFLAMMATION, SWELLING

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

BASKET CAST

PATELLA WITH OPEN WOUND WHICH NEED FREQUENT DRESSING

CAST BRACE
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

rd rd
PROXIMAL 3 TIBIA AND FIBULA, DISTAL 3 FEMUR

INTERNAL ROTATOR BOARD

POST HIP SURGERY TO PREVENT EXTERNAL ROTATION OF KNEE

NIGHT SPLINT

• For post poliomyelitis with contractures of hip and knee

• Applied at night only

CAST CARE
1. Do not wet, cut or heat
2. Allow the cast to dry naturally in circulating air
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

3. If the cast becomes loose, cracked & soft it is no longer keeping the injured body
immobilized
4. Do not push any objects inside the cast
5. Check the circulation of the finger or toes
6. Don’t scratch under the cast with sharp objects
7. Trim rough edges
BRACE
A mechanical support for weakened muscles, joints, and bones in rehabilitation.

BRACES
1. Immobilize a joint or body segment
2. Allows patient to walk without fatigue
3. Maintain body alignment
4. To control involuntary movements
5. To prevent and correct deformity
6. For support

SOFT COLLAR BRACE

FOR CERVICAL SPINE AFFECTION

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHANTZ COLLAR BRACE

FOR CERVICAL SPINE AFFECTION

PHILADELPHIA
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

FOR CERVICAL SPINE AFFECTION

FOUR POSTER BRACE

Cervical and upper thoracic spine affection

SOMI BRACE
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

STERNO – OCCIPITO - MANDIBULAR IMMOBILIZER

JEWETTE BRACE

FOR DORSO LUMBAR SPINE AFFECTION

CHAIR BACK BRACE

FOR LUMBO SACRAL SPINE AFFECTION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

KNIGHT TAYLOR BRACE

FOR THORACIC SPINE AFFECTION

FORESTER BRACE

FOR CERVICO-THORACO-LUMBAR SPINE AFFECTION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

MILWAUKEE BRACE

FOR SCOLIOSIS, T9 AND BELOW

YAMAMOTO BRACE

FOR SCOLIOSIS, T9 AND ABOVE

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SCOTTISH RITE

For Coxa Plana or Legg Calve Perthes Disease

UNILATERAL / BILATERAL LONG LEG BRACE

FOR POST POLIOMYELITIS WITH RESIDUAL PARALYSIS

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHORT LEG BRACE

 FOR CLUBFOOT
 FOR POST
POLIOMYELITIS
WITH RESIDUAL
PARALYSIS

DENNIS BROWNE SHOES

FOR CLUBFOOT DEFORMITY

B ANJO SPLINT

FOR PERIPHERAL NERVE INJURY

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

OPPEN HEIMMER

FOR RADIAL NERVE INJURY

LIVELY FINGER SPLINT

FOR FRACTURE OF THE FINGER

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

COCK-UP SPLINT

TO PREVENT WRIST DROP

ARM SLING

To support affected upper extremity

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SHOULDER STRAP

FOR SCOLIOSIS

BRAUN BOHLER SPLINT

FRACTURE OF THE TIBIAL PLATEAU

HARDWARE

A generic term that encompasses all

metallic implants, including joint prostheses.
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

HEMOVAC

TO COLLECT DRAINAGE POST - OP USING NEGATIVE PRESSURE

BONE DRILL & DRILL BIT

Bone Drill

Drill BitsTO BORE HOLES ON BONES

OSTEOTOME (CHISEL)

TO GET BONE CHIPS FOR BONE GRAFT

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SKIN STAPLER AND REMOVER

TO HOLD SKIN EDGES TOGETHER

RONGEUR

FOR CUTTING BONE CHIPS and putting chips in place

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

GIGLI SAW

FOR AMPUTATION

ANTIBIOTIC BEADS

FOR OSTEOMYELITIS
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

FIXATION

External Fixation
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

CRUTCHFIELD TONG

FOR CERVICAL SPINE AFFECTION

STEINMANN PIN / HOLDER

FOR FRACTURE OF HIPS, FEMUR, TIBIA, FIBULA, HUMERUS

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

KIRSCHNER WIRE / HOLDER

FOR FRACTURE OF RADIUS, ULNA

TOWER EXTERNAL FIXATOR / INTERDENTAL WIRING

FRACTURE OF MANDIBLE
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

ROGER ANDERSON EXTERNAL FIXATOR (RAEF)

LOWER EXTREMITIES
FOR COMMINUTED FRACTURE OF THE LONG BONE

MINI ROGER ANDERSON EXTERNAL FIXATOR (MINI RAEF)

FRACTURE OF THE FINGERS

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SPANNING EXTERNAL FIXATOR

FRACTURE OF FEMUR EXTENDED TO TIBIA

ILIZAROV EXTERNAL FIXATOR

FOR COMMINUTED FRACTURE, NON UNION, MAL UNION, BONE LENGTHENING

DELTA FRAME EXTERNAL FIXATOR

rd rd
FRACTURE OF PROXIMAL 3 or DISTAL 3 TIBIA
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

HYBRID EXTERNAL FIXATOR

PERIARTICULAR FRACTURE OF ANKLE OR KNEE JOIN

HOFFMANS EXTERNAL FIXATOR

FOR PELVIC AFFECTION

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

INTERNAL FIXATION

SCREWS AND X-PINNING

SUPRACONDYLAR FRACTURE OF THE HUMERUS

CERCLAGE WIRE
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

FOR FRACTURE OF PATELLA

FOR TENSION BAND WIRING
OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

BONE PLATE WITH SCREWS

TO HOLD PLATES IN PLACE

Y - BONE PLATE

SUPRACONDYLAR FRACTURE OF THE HUMERUS

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

T BONE PLATE / BUTTRESS PLATE

FRACTURE OF P3 or D3 of TIBIA

COMPRESSION HIP SCREW FIXATOR (CHSF )

FOR INTERTROCHANTERIC FRACTURE OF FEMUR

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

INTRA MEDULLARY NAIL ( IM NAIL )

RD
FRACTURE MIDDLE 3 FEMUR / LONG BONE
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

IM NAILS ON X-RAY

INTRA MEDULLARYNAIL EXTRACTOR

TO REMOVE IM NAIL

SPINAL INSTRUMENTATION
A method of straightening and stabilizing the spine after spinal fusion, by surgically attaching
hooks, rods, and wire to the spine in a way that the stresses on the bones are redistributed
and are kept in proper alignment.
LUQUE ROD
To correct scoliosis
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

 Metal rods fixed to each segment (vertebra) in the affected part of the spine.
 No need to wear a cast or brace after the procedure.

Risk of injury to the nerves and spinal cord is higher.

HARRINGTON ROD

 Oldest and most proven

 Used to straighten and stabilize the spine when curvature is greater
than 60 degrees
Advantages:
 Simplicity of installation
 Low rate of complications
 Proven record of reducing
curvature of the spine

Body cast for about six months then.

 Body brace for another three to six months while the
 bone fusion solidifies.
 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SUBLAMINAR WIRE

TO HOLD RODS IN PLACE

PEDICLE SCREWS

TO STABILIZE ROD PLACEMENT

PROSTHESIS

An artificial device to replace or augment a missing or impaired part of the body.

OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

AUSTIN MOORE

FOR PARTIAL HIP REPLACEMENT ARTHROPLASTY

REPLACEMENT OF FEMORAL HEAD, NECK

BIPOLAR HIPPROSTHESIS

REPLACEMENT OF FEMORAL HEAD, NECK AND ACETABULUM

 OFFICE OF THE SCHOOL OF NURSING
RESOURCE UNIT FORM CODE:
01-VPAA-F-008
EFFECTIVE DATE: REV. NO:0
June 1, 2022

SPACER ANTIBIOTIC

REPLACEMENT OF INFECTED HIP PROSTHESIS

KNEE PROSTHESIS

AFFECTION OF PATELLA, FEMORAL AND TIBIAL COMPONENT; OSTEOARTHRITIS

Bone continuously remakes itself.
New bone is produced, and old bone is removed.Osteoblasts, the cells
responsible for making bone, maintain the balance of calcium in the blood and
bone.
Prepared by:
GIZA A. CASTRO RN, RM, MAN