Exam Guide

The Real Purpose of Buck's Traction

Musculoskeletal & Perfusion · Question from the ATI RN Medical-Surgical 2023 Proctored Exam study set

Question: A patient with a hip fracture has "Buck's Traction." What is the main purpose of this traction?
A. To realign the bone
B. To reduce muscle spasm
C. To prevent infection
D. To increase mobility

Correct answer: B. To reduce muscle spasm

Why this is the answer

Buck's skin traction is a temporary, preoperative measure that keeps gentle, steady pull on the limb, which reduces the painful muscle spasms that surrounding muscles produce in response to a fracture. Realigning the bone (A) overstates what this traction does — it is not strong enough or precise enough to reduce (realign) a fracture; that requires surgical fixation. Preventing infection (C) has nothing to do with traction, which is a mechanical, not an antimicrobial, intervention. Increasing mobility (D) is backwards — traction restricts the limb's movement, it doesn't increase it.

The bigger concept

Buck's traction is a good example of a comfort-and-stabilization measure rather than a curative one — it buys time and eases pain before definitive surgical repair, which is the actual treatment for most displaced hip fractures.

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