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Gardner-Wells Traction - The tongs are secure when the...

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Learning Issue: Gardner-Wells Tongs-MH Gardner-Wells: Is a simple effective means of applying axial traction for reduction; however it does not significantly limit voluntary rotation, flexion, or extension in an uncooperative patient. Why is it used? It can be used when an unstable spine or maligned cervical spine requires either more stable immobilization or axial traction to achieve reduction. Is usually preferred for short term traction followed by surgical stabilization and non-halo external mobilization is planned. How is it used? The pins should be positioned bellow the temporal ridges at a point of 2 cm above the external auditory canal and above temporal muscle. After shaving, the skin is infiltrated with local anesthetic after the application of an antiseptic. The screws must be tightened symmetrically.
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Unformatted text preview: The tongs are secure when the metal pressure pin protrudes 1mm. Traction should be initiated 10lb and increased by 5-10lb increments. Reduction should be performed with in awake patients with administration of intravenous midazolam if needed. Fluoroscopy or serial radiographs and neurologic examinations should be performed to avoid injury. Benefits: • Traction can be applied with minimal skin preparation and without assistance. • It can be applied by one person and without anterior pin sites. • Fast and easy Resource: http://www.mdconsult.com/books/page.do?sid=1124376112&eid=4-u1.0-B978-1-4160-2220-6..10025-8--s0150&isbn=978-1-4160-2220-6&type=bookPage&sectionEid=4-u1.0-B978-1-4160-2220-6. .10025-8--s0240&uniqId=236370571-8...
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