Questions: 1. Ruth Livingston will have her hip replaced because of this fracture. Define arthroplasty. 2. Ruth Currently has Buck's traction applied. What is skeletal traction? 3. What is skin traction? 4. How do you assess a patient in traction? How do you assess the traction equipment? 5. If Ruth was placed in skeletal traction, how would you care for the pins of the traction? 6. Post surgery, Ruth Livingston is trying to get out of a chair and calls the nurse, screaming. What are signs and symptoms of a dislocation of the hip arthroplasty?

Certainly! Let's address each of the questions related to the musculoskeletal case study of Ruth Livingston.

1. Define Arthroplasty: Arthroplasty is a surgical procedure to restore the function of a joint. This can involve resurfacing the bones or using an artificial joint (prosthesis). In the context of hip fractures, a hip arthroplasty, or hip replacement, involves replacing the damaged femoral head and possibly the acetabulum with artificial components to relieve pain and improve mobility.

2. What is Skeletal Traction? Skeletal traction involves the use of pins, wires, or screws that are surgically inserted into the bone. These devices are then attached to a system of weights and pulleys to apply a continuous pulling force to align and stabilize the bone or joint. It is typically used for more severe fractures or when prolonged traction is necessary.

3. What is Skin Traction? Skin traction involves applying a pulling force to the skin using adhesive materials or straps. The force is transmitted to the bone through the skin and soft tissues. It is generally used for short-term treatment and less severe fractures. Buck's traction, as used in Mrs. Livingston's case, is a type of skin traction.

4. How do you assess a patient in traction? How do you assess the traction equipment?

   • Patient Assessment:
     • Check for proper alignment of the limb.
     • Assess the skin for signs of irritation or breakdown.
     • Monitor for neurovascular status, including circulation, sensation, and movement (CSM).
     • Evaluate pain levels and manage accordingly.
   • Traction Equipment Assessment:
     • Ensure weights are hanging freely and not resting on the floor.
     • Check that ropes are intact and running smoothly over pulleys.
     • Verify that the traction setup is secure and correctly applied.

5. If Ruth was placed in skeletal traction, how would you care for the pins of the traction?

   • Perform regular pin site care to prevent infection, typically using sterile technique.
   • Clean the pin sites with antiseptic solution as per hospital protocol.
   • Monitor for signs of infection, such as redness, swelling, or discharge.
   • Ensure that the pins are stable and not causing undue discomfort.

6. Signs and Symptoms of a Dislocation of the Hip Arthroplasty:

   • Sudden onset of severe pain in the hip or groin.
   • Inability to move the leg or bear weight.
   • Visible deformity or shortening of the affected leg.
   • The leg may be externally rotated.
   • A popping or snapping sensation may have been felt at the time of dislocation.

These answers provide a comprehensive understanding of the case study and the related medical concepts.