Patients in Russell's traction are particularly at risk for which condition?

Patients in Russell's traction are particularly at risk for thrombophlebitis due to the immobilization associated with this type of traction. In Russell's traction, the leg is suspended with a combination of weights and pulleys, which immobilizes it to allow for healing of fractures or musculoskeletal injuries. The lack of movement can lead to venous stasis, increasing the likelihood of blood clot formation in the veins, particularly in the lower extremities.

Thrombophlebitis occurs when a blood clot forms in a vein and causes inflammation. Factors contributing to this condition in patients with traction include reduced blood flow from immobility, dehydration, and potential injury to the vein walls. The longer a patient is immobilized, the higher the risk of developing complications like thrombophlebitis. Thus, the focus in patient care for those in Russell's traction should include strategies for preventing venous thromboembolism, such as encouraging mobility as tolerated, using compression devices, and ensuring adequate hydration.