Identify the article in the following image.

Appeared in: DSSSB 6 September 2024

Explanation

The image displays a Bohler stirrup, a U-shaped metal orthopedic instrument used for skeletal traction.
Its characteristic features are a circular ring at the apex for attaching traction cords and clamps at the open ends to connect to a Steinmann pin or Kirschner wire.
This device is primarily used to apply a continuous pulling force to a fractured long bone, such as the femur or tibia, to ensure proper alignment and promote healing.

Option A: A Jacobson's drill is a surgical tool used for drilling holes into bone. It is not a traction device and has a completely different appearance and function.
Option C: A Viking stirrup is a patient positioning device, specifically a leg holder, used to place a patient in the lithotomy position for gynecological or urological surgery. It is not used for applying traction.
Option D: Gardner-Wells tongs are C-shaped and used specifically for applying skeletal traction to the cervical spine by inserting pins into the skull. The instrument in the image is U-shaped and designed for limb traction.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of Orthopedic Traction Equipment as background academic context rather than a clinical decision trigger.
Nurses play a critical role in managing patients in skeletal traction. Key responsibilities include ensuring the traction system is functioning correctly (weights hanging freely, ropes in pulleys) and maintaining patient alignment.
Meticulous pin site care is essential to prevent infection (osteomyelitis), which is a serious complication. This involves regular cleaning of the pin insertion sites as per hospital protocol.
Frequent neurovascular assessment of the affected limb is a priority nursing action. This includes checking for pulses, color, temperature, capillary refill, sensation, and movement to detect any compromise in circulation or nerve function.

How to Approach the Question

First, carefully analyze the image provided. Identify the key visual characteristics of the instrument: its U-shape, the circular ring at one end, and the clamping mechanisms at the other two ends.
Consider the likely function of an instrument with these features in a medical context. The ring suggests attachment for a rope or cord, and the clamps suggest attachment to a pin, pointing towards a traction system.
Evaluate each of the given options against your visual analysis.
Option A, a drill, is functionally and visually incorrect.
Option C, a positioning stirrup, has a different shape (boot-like) and function.
Option D, a skull tong, is C-shaped and used for the head/neck, not a limb.

Concept Tested & Keywords

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 4 p. 127-129

Practise the full DSSSB 6 September 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.