Orthopedic Equipments

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  Post polio/ Knee Contracture

HALO FEMORAL  Severe Scoliosis

90 - 90 DEGREES  Subtrochonteric Fracture of Femur FORESTER

BRACES MILWAUKEE BRACE

TAYLOR

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