840
PŮVODNÍ4021200011151111173233294355388
PRÁCE4435200011151111174230285
/4746200011132
ORIGINAL4804200011158118151213244306367421
PAPER5250200011151107163217278
Afinita1526320097497091136155182222
k176532009737
použití18193200974691136171190217237
trakční2073320097265392130166211230
dlahy23203200974564103148185
v252232009739
přednemocniční25783200974572113159204245313357395439459495540559
péči31543200974587124143
v331432009738
iniciálním3369320097196483120139178197242261328
managementu371432009767106151190235276344385430457501
pacienta42323200974686122141182227254294
se45423200973273
zlomeninou4632320097345499166207253272317361406
stehenní50553200973260100145186231276295
kosti53673200973882114141161
|5584190011126
17565419001113676
/24588040010732
Anest25358040010752100145178207
intenziv276280400107196794136184221240282
Med.30638040010770115165181
2026;37(1):16-213263804001074487129171186230271291331348363400439468507547
/38558040010731
ANESTEZIOLOGIE39528040010753112155200245290342362425467527586607650
A46248040010752
INTENZIVNÍ4698804001071978123168227276296345405426
MEDICÍNA51458040010770114174195248268327381
www.aimjournal.cz4258040010765133201214257275349367415463490539579598614654693
Adherence425590016687162241303364428505565629
to1078590016651121
traction1223590016652115181241294336403479
splint1726590016656130169212291341
use2091590016677134198
in2313590016640119
the2456590016652130193
initial2673590016640119162212254321363
management30605900166110177256323389451560623699749
of3833590016668116
patients3973590016674140190232294370421478
with4475590016698142192270
femoral4769590016649111220287349414457
fractures425740016648112178238291367430494551
in1000740016641120
the1144740016652130192
prehospital1360740016674135200276343400474514564632674
care2058740016661127191256
Objective:425940012370129156207253290315366416439
This882940012150106129168
paper1067940012157106162213246
evaluates133094001215098146169224271304353392
adherence1740940012148104159210242292347392441
to219994001213386
traction230394001213366114158194216271327
splint264794001214096120143198230
use289594001215594144
for305794001212984116
suspected319194001214094133189240285320369427
femoral363594001212979163218250299322
midshaft3975940012183106162201256304333369
fractures436294001212962111155190245277327366
in474694001212378
prehospital484294001215789139195249288345368401450473
care,533394001214493125175195
focusing425108001212984130185224247302358
on8041080012155111
patients9361080012157106138161211267299340
transported1297108001213366114170209265321354390439496
to1815108001213387
Level1923108001214797144194218
I21621080012124
Trauma2207108001215076125179263311
Center.25391080012158107163195244277293
Design:4251220012368120162188246303326
Retrospective7721220012154104138170225264321372417453476524573
observational13661220012155112152202235286335367390445501549572
study.1959122001214074129186233250
Setting:4251360012352104140177202259317340
Emergency7861360012149132182215271321377422472
department,12791360012156106164212245281364414470502524
emergency18241360012150133184217273323379424473
medical23181360012184134192215260308332
service.2671136001213990123174198243292312
Material4251500012383134169220256282333358
and8011500012351108166
Methods:9851500012383135171228285344386409
A14121500012161
retrospective1491150001213383116149203243299350396431454503552
analysis20611500012148103151175222262285324
utilized2403150001215588111135158200250308
datasets27291500012156104137186225275309349
from3096150001213063118201
the3316150001213388138
Level3472150001214897145194218
I37081500012124
Trauma3750150001215077125180263311
Center40791500012158107163195245278
and43751500012148103160
the4553150001213388139
Emergency47101500012149132182215271321377422471
Medical52001500012180131188211256305328
Service425164001214999132182206250299
in741164001212378
the837164001213287137
period9921640012156107139163217274
of1283164001215584
January1384164001213784139193241273323
to1724164001213387
December18281640012167117162211294350400433
2023.22781640012151101149200219
Initially,2515164001212479101134157204227250297313
39128451640012151100147
patients30091640012157105137160210265297337
were33641640012173122154204
searched3585164001214090137169213268318374
in3977164001212378
both40721640012157112145199
databases.42891640012156103135184240288327377416437
The47441640012149105155
study4916164001214073128184231
included5164164001212478123146200256306363
464251780012151104
patients5471780012157106138161212267300340
with905178001217498131186
prehospital1109178001215790140195251290346370403452475
traction1602178001213366114159195218273328
splint1948178001214096121143199231
application21971780012148105162186209254303335358413469
due26841780012156111161
to2863178001213488
suspected2969178001213994133189241286322371428
femoral3415178001212980163218251300323
fracture3756178001213063112156192247279329
and41031780012148103160
842811780012151
patients43511780012156105138161211267299340
with4709178001217397130185
a49121780012149
femoral4979178001212979163218251299323
shaft5320178001213995143172208
fracture425192001212963111156191246278328
without771192001217397130185240295328
traction1117192001213366114159194217272327
splint1462192001214096120143198230
application.17101920012148105162186209253302334357412468489
Patients22171920012153100132155206261293334
without2569192001217397130185240295328
a29151920012148
confirmed2981192001214598154183209241325375432
femoral3431192001213080163218251299323
shaft3772192001213994142171207
fracture3997192001213063111156191246278328
and43431920012148103160
without4521192001217397130185240295328
applied48671920012148105162186209259316
traction5201192001213365114159194217272327
splint425206001214097121144200233
and6862060012149105162
those876206001213489145185236
who11402060012174131186
died1355206001215680131188
during15722060012157112145169224281
transport1882206001213366115171210267323357393
to2304206001213387
the2420206001213389140
emergency25882060012151135186219276326383428478
department30952060012156107165214247283367418474507
were36302060012175124158208
excluded.3867206001215098142165220278328386407
The43032060012150107158
following4489206001213085110133189262286342399
variables4916206001214997130154203260284335375
were53192060012174124158208
recorded:425220001213382128181214270320377397
age8402200012148104154
and10122200012148103159
gender,11892200012156106161218268301317
mechanism15232200012184134179234282337360399482
of2023220001215483
injury,2124220001212479102156189239255
Injury2397220001212379102156189239
Severity2654220001214999146195228252285334
Score3006220001214994148180230
(ISS),325422000121285199147174193
duration34652200012156110143191224246301357
of3840220001215483
the3941220001213388138
prehospital4097220001215790139195250289345369402450474
setting,4588220001214090123159182237292313
administration49192200012148104187210265288327361393442474497552607
of425234001215584
analgesics5312340012148104152175231282321344389429
in982234001212479
the1083234001213388139
prehospital1244234001215790140195250290346370403452475
care,1741234001214594126176196
operation19592340012155112163196245277300355411
treatment2392234001213366115163196279330385418
within2832234001217397130185208264
the3118234001213388138
first327823400121305688129163
243463234001215199
hours35842340012156111166199239
after3845234001214878114163196
the4063234001213388139
injury,4224234001212378102157189239255
presence4502234001215689139179229285330379
of4903234001215584
other5009234001215588143193226
severe5257234001214090138187220270
injuries,425248001212379102157190214264304325
need7782480012156106158215
for1022248001212984117
blood1167248001215882137193250
transfusion1446248001213366114170209239295335358413469
in1943248001212479
early2051248001215098131155202
management,22822480012183131187235291342426476532565586
length2896248001212474130187220275
of3200248001215584
stay3312248001214074123169
in3509248001212479
the3617248001213388139
hospital37842480012156111150207231264313337
and41492480012148104161
mortality.43382480012184139172208257281304337387404
Subsequently,47702480012149104161201251309364414470502526573590
the5388248001213388139
sensitivity425262001214090146185208241264312336369419
and8652620012148104160
specificity1046262001214096148193216246272316339372422
of1489262001215585
a15952620012148
traction1664262001213366114159194217272328
splint2013262001214096120143199231
application22652620012148105162186209254303335358413469
in2755262001212379
patients28552620012157105138161211267299340
with3216262001217497130186
femoral3423262001212979163218251299323
shaft3767262001214095143172208
fractures3996262001213063112156192247279329368
were43862620012173123156205
evaluated.4613262001215097146169224272304354411432
Results:4252760012357109151207233268311334
A7802760012161
total862276001213488120169193
of1076276001215584
5411812760012152103
patients13062760012156105138161211267299340
were16672760012173123156206
evaluated,1894276001215098146170224272305354411432
3423472760012152103
male24722760012183131155205
(63%),2698276001212978128205231249
median29682760012184134192215263318
age33072760012149104155
was34832760012174122161
3936652760012152101
years3787276001214796145177217
(IQR4026276001212851120175
26;73),42222760012151101120168218243262
high-energy4505276001215679135190222275331381414469517
mechanism50442760012183134179234282338361400483
of425290001215584
injury527290001212479102157190240
prevailed.785290001215790140188236259282333390411
Injury1214290001212480103158190241
severity1473290001214090138187220243276326
score1818290001213984138171221
was20572900012174122161
112237290001215192
(IQR2347290001212952121175
9;25),2541290001215171122173200218
40%27782900012151104184
of2980290001215584
patients30822900012157106139162212267300340
were34412900012173123156206
polytraumatized.36652900012157113137184221253302356439488520543586636693714
The43982900012149106156
duration45722900012157112144193225248303359
of4949290001215584
prehospital5052290001215790139195250290346370403452475
care425304001214696129180
was6343040012175125165
598293040012152101
min9593040012185109166
(IQR1154304001212953124179
47;7213633040012152100117166218
min).16103040012185109166192211
Prehospital1850304001215587138195252292350375409459483
analgesics23623040012149106155179237289329353399441
were28323040012175126159211
administered30723040012149107192216273297337372422456507566
to3667304001213489
all378630400121497397
patients,39123040012158108142165217274307349371
all431230400121497497
polytraumatized44393040012158115140189226259309365450500533557601652711
patients51793040012158108141165217274307349
received425318001213383128177201249298355
early800318001215199131155202
blood1022318001215781136192249
transfusion.1291318001213366114170209239295334357412468489
Length1800318001214797152209242297
of2117318001215584
stay2221318001214074122168
in2409318001212379
the2508318001213388138
hospital26663180012156111150207230263312336
was30223180012173122161
153203318001215196
days33193180012156104150189
(IQR3528318001212951121175
9;263723318001215172123172
days).39153180012156104150190215233
Mortality41683180012180136169205254277300333383
was45713180012174122161
3.7%.4752318001215171122201223
Sensitivity4995318001214999155194217250273321345378428
of5443318001215584
the425332001213388139
correct584332001214598131164214260295
indication899332001212479136159204252285308363418
of1338332001215584
traction1442332001213366114159194217272328
splint1790332001214096120143198231
application20413320012148105162186209254302335358413469
in2530332001212378
prehospital2629332001215689139195250289346369403451475
care3124332001214594126176
in3320332001212379
patients34193320012157105138161211267299340
with3779332001217497130186
femoral3985332001212979163218251299323
shaft4328332001214095143172208
fracture4556332001213063112156192247279329
was49053320012174122161
92%5087332001215199178
in5285332001212479
our53843320012155110143
study,425346001214073128185233249
specificity695346001214096147193216245271316339372422
97%.11383460012151100179201
Conclusion:4253600012359114172217243299341367423481504
Currently,9523600012158111144177227282315338385401
a13773600012148
traction1449360001213365114159194217272328
splint1801360001213996120143198230
is2055360001212362
a21413600012148
common2213360001214598182265320376
device26133600012156107154178223272
used2908360001215695145203
for3134360001213085117
stabilization3275360001214074122179203226249292342374397452508
of3807360001215584
the3914360001213489139
potential40773600012157113145195250283306354377
femoral4478360001212979163218251299323
shaft4825360001213994142171208
fractures5056360001213063112156192247279329368
in5448360001212479
prehospital425374001215790140195251290346370403452475
settings925374001213990123159182237293332
and12823740012148103160
in1467374001212378
the1570374001213388139
emergency17333740012150134185217273323379424474
department.22313740012157107164213245281365415471503524
It2780374001212457
is2862374001212362
important29493740012123106163219252288337392424
to3398374001213387
carefully3510374001214593126176205261285308355
consider3890374001214598154193216273323356
contraindications4270374001214599155187219268291346403426471519552575630686725
and50193740012149104161
femoral5204374001212980163219251300323
fracture425388001212962110154188243274324
level766388001212373120168192
for975388001212983115
effective1108388001214978110160205240262310358
use1483388001215594143
according1644388001214792134187220275298352407
to2069388001213386
the2172388001213387137
manufacturer’s23263880012183130185239267316360394449480530562584619
recommendations2962388001213382127180262345394449505552584607661716754
for3734388001212983115
the3866388001213388137
specific4021388001213994145190212241267311
traction4349388001213365113157191214268323
splint.4689388001214095119141196227248
The49543880012150105155
challenge5126388001214599146169192241296352401
remains425402001213383168216240296335
the789402001213389140
assessment958402001214888128179219258342393450482
of1469402001215585
the1583402001213389140
fracture1752402001212963112157193249282332
level2113402001212374123172197
on23384020012156112
the2479402001213389140
prehospital2648402001215790141197253293350374407457480
scene.3157402001214086135192243263
Systematic3449402001215094135169219303352385408453
education39314020012151109164209259292315371427
significantly4387402001214063119175199229255300350406438462510
influences4926402001212379108135191241298343393433
the5388402001213389140
recognition425416001213281126179235289312344367421476
and9184160012148102158
appropriate10934160012148103159192245302334357404436484
indication1594416001212478134156200248280302356411
for2022416001212983116
traction2155416001213365112156191213267322
splint2494416001214095119141195227
application27384160012148104160183206250298329352406461
and32164160012148102158
reflects3391416001213281110136186231265305
the3713416001213387137
high3867416001215577132187
specificity4071416001213995145190212241267310333365414
and45024160012148102158
sensitivity4677416001214089144182205237259307330363412
of5106416001215483
traction5206416001213264112156191213267322
splint425430001214096120143198231
application6774300012148105162186209254302335358413468
in1167430001212378
patients12664300012157106139162212268300340
with1628430001217397130185
femoral1834430001213080163219252300323
midshaft21794300012183106163202257305334371
fractures2571430001212963111156191246279328368
in2960430001212479
our30604300012155110143
study.3224430001213973128185233249
Key4254470012358108158
words:6034470012375131167225267290
traction915447001213366114159194217272328
splint,1264447001214096120143198231252
femoral1537447001212980163218251300323
shaft1881447001214095143172209
fracture,2111447001212962111156191246278328348
prehospital2480447001215790140196251290347370403452476
care,2977447001214593126176196
blood3194447001215781136192249
transfusion.3464447001213366114169208239295334357412467489
Úvod4254920015378141206278
Zlomeniny425510001074967115189234282300348387
diafýzy835510001074967108131175214257
stehenní1114510001073463105154198246294313
kosti1449510001073886119148167
vznikají1639510001074079128147184227246264
typicky1926510001072870121140180218261
v22105100010741
důsledku2273510001074997129148192242280328
vysokoenergetického2624510001074184118166205252425524001074492136162211255283301342379423471519
násilí965524001074889122141159178
a11645240010740
jsou1225524001072052101149
často1395524001074081114143190
součástí1606524001073482130170212245274293
sdruženého1920524001073383109158194237285329378426
poranění2367524001075099126168216260308326
nebo2714524001074893142191
polytraumatu425538001075099119159190217258306379420447495
spojeného945538001073383132151195243287335384
s13535380010734
významnou1412538001074084122171212285334382430
krevní1867538001073866109150199217
ztrátou210953800107366794135163209257
[1].23905380010926698924785380010716
Zlomeniny2518538001074967116190234282301349387
trochanterické425552001072855102143191232280306349375395435473516
oblasti966552001074898118158191220239
jsou1230552001072052101149
pouze1404552001075099147184227
z16565520010736
jedné1717552001071963113161205
třetiny194755200107285598125144192231
důsledkem2203552001074996129147191241279322396
vysokoenergetického2624552001074184118166205252425566001074391134160208251278297336374416464511
mechanismu,9525660010773117158205245292310343415462477
v14455660010740
osteoporotickém1501566001074881109151199249297323370397415455492534607
terénu212456600107276995138185232
vznikají2372566001074078126145182223242260
typicky2648566001072870119138178215257
prostým425580001075077124157186229303
pádem,748580001075091141185259274
tedy1042580001072870120160
nízkoenergetickým1222580001074867104142189234283327353401445473492532570613688
mechanismem19295800010774118160208248296315348421465539
[2].24875800010926729525805800010716
Pomůckou565594001074592166213253291339387
sloužící976594001073453101149186205245264
ke1264594001073882
stabilizaci1370594001073463104154173192210247289330348
zlomenin1743594001073656104178222271289337
diafýzy2105594001074967108131175214257
stehenní2386594001073463105154198246294313
kosti,2723594001073986119148167182
zejména42560800107378099173218267308
v7596080010741
přednemocniční827608001075077121171220264339388430478497538586605
péči1459608001075095137155
(PNP),1641608001072470127172195208
je1876608001071964
trakční196660800107285698136176224243
dlaha2236608001074968109158199
(TD).2462608001072470130152165
Trakční2654608001074264106144184232251
dlaha425622001074968108157197
byla647622001075090109150
vyvinuta822622001074184128148196243271313
v11606220010740
2.1226622001074459
polovině1310622001075099119167207226274318
19.165462200107438195
století1774622001073362109129173200219
britským,201862200107507796124159197240314330
resp.2373622001072770103152168
velšským,2566622001074184103136169206249324339
úrazovým425636001074874116153200240284358
chirurgem801636001074088107133181208256300374
Hughem11926360010757105154202246320
Owenem15306360010760126170218262336
Thomasem1884636001074191140214254288332406
k23076360010738
léčbě2363636001071963104154198
poranění2579636001075099126167216260308326
a4256500010741
onemocnění493650001074898142217266308357401450469
dolní989650001074998118167185
končetiny,1201650001073987136177220248267316355367
zejména1594650001073780100174219268309
kostní1930650001073886120149199217
tuberkulózy,2174650001072877127173200239288307356392435447
do2648650001074998
širší277365000107345279114132
klinické42566400107385977125143184222265
praxe713664001075077119158201
k9386640010738
léčbě1000664001071963104153198
zlomenin1222664001073655104178222270289337
ji1582664001072038
dále1644664001074989108152
uvedl1820664001074889132182201
jeho2045664001071963111160
synovec2229664001073374123172212255296
Sir254966400107426086
Robert2659664001074594144189215246
Jones425678001073179128172206
[3].652678001092672957456780010716
Významné782678001074587125174215289337381
iniciální118467800107196685125144184203251269
uplatnění1474678001074898117158185234278326344
trakční183967800107285596134173222240
dlahy2100678001074968108157195
u23166780010748
pacientů2385678001075091132150194242269317
s27236780010734
poraněním2778678001074998425692001072768116160208227300
dolní748692001074997117165183
končetiny954692001073886134175217245264311350
je1327692001071963
datováno1412692001074990117164204246294342
do1777692001074997
období1897692001074898148196246266
1.2185692001074455
světové2263692001073476119146193233277
války,2562692001074183102139182194
kdy2778692001073887127
pomocí425706001075099173221263281
její72370600107196382101
aplikace841706001074090110128166208249291
byli1149706001075089109127
léčeni1293706001071963104147195213
pacienti1523706001075092132151194243269288
se1828706001073478
zlomeninami1923706001073656104178222270289337378451470
stehenní2410706001073362105153197245293312
kosti2739706001073885119148167
způsobenými425720001073686134167215264309357395469488
střelnými92972000107346389131151198236310329
poraněními.1274720001075099126167215258306325398416432
První1722720001074571115163182
výsledky1920720001074184117136180229267310
úspěšného2246720001074881129174207255299347395
použití2657720001075099147183202230249
trakční42573400107285596134173221240
dlahy687734001074968108157195
při90473400107507796
takovéto1022734001072869107154194238265312
léčbě1356734001071963104154198
publikoval1576734001075098148168186224271311353372
Sir197073400107426086
Henry20787340010757101149175219
Gray2319734001075683124163
v25047340010741
roce2567734001072674115157
19172746734001074482122159
a4257480010741
dokládal486748001074997135156197246287306
je811748001072063
redukcí894748001072770120167205244263
mortality11777480010773122149180221240258287329
z15267480010736
801582748001074488
%16907480010766
na1776748001074889
15,6188574800107448195140
%20457480010766
[3].21307480010926729522247480010716
Současné565762001074292141183225259308353
moderní9457620010775125176221248298317
trakční129076200107285598137177226245
dlahy1562762001075070111160200
lze1789762001071957101
rozdělit1917762001072775111160205225244273
na2217762001074991
unipolární2335762001074898117167218238279306356376
a27387620010741
bipolární28067620010751714257760010751102123166194245264
(rámové).71877600107255094170221263308332346
Rámová1093776001074790167217259303
dlaha1425776001075070113163205
(původní1659776001072577127170220272322342
Thomasův2029776001074495146223266301349392
model)24507760010776127179225245271
byla2750776001075192113155
vylepšena3047496001074183103147196229273321361
Harem3425496001075697123166239
o36804960010748
teleskopický374449600107287090133167204251301320360397440
mechanismus42004960010774118159207247295313346418466498
k47154960010738
nastavení4769496001074889122151192231274322340
délky5126496001074992111149191
dlahy5334496001074967108155194
a30475100010741
kotníkovou3114510001073885113161180219267307354403
manžetu35435100010773114162199242269317
v38865100010741
roce3953510001072774115157
1960.4136510001074482127172187
Tato4349510001074277104151
dlaha4526510001074968108156197
není4749510001074892141159
doporučena4934510001074997148197224272312355403444
pro5404510001074976123
pacienty3047524001075092133152196245272315
se3389524001073478
zlomeninou3494524001073757105180225274292341390438
v39595240010741
oblasti4027524001074899119160193223242
horního4295524001074998125175194244293
nebo4615524001074893143193
dolního4834524001075099119167186236285
konce5146524001073886135176219
stehenní53925240010734631063047538001074892141189207
kosti3278538001073885119148167
[4].34685380010926699335605380010716
Unipolární35995380010757104123172222241282308357376
dlahy3998538001074968109157196
využívají4217538001074184133170189230271290309
k45505380010738
fixaci461253800107234382123164183
své4818538001073476119
proximální4961538001075077124162181254295314362380
části5365538001074082115144163
popruh30475520010750100150177226275
jdoucí3348552001071969118166207226
kolem3601552001073886105150224
pasu3851552001075092126173
nebo4051552001074993143193
třísla.427055200107285574107126167184
Unipolární44805520010757105124174223243284311360379
dlaha4885552001075069110158199
s51115520010734
nosníkem5171552001074997131179198238282356
umístěným30475660010748121140173202244292331406
mediálně34795660010774118168187227246294338
(mezi3843566001072496140177197
oběma4066566001074898143216257
končetinami)4349566001073886135175217245264312353426445469
byla4844566001075089109149
vyvinuta5020566001074084128147195243271313
v53595660010741
70.5426566001074485101
letech304758000107196391133175223
20.3287580001074487102
století3406580001073463109129173201220
Sagerem,3643580001074183132176203246319335
dlaha3995580001074968109157197
s42105800010733
nosníkem4260580001074897130178197237280353
umístěným46305800010748122140173202244292331405
laterálně505358000107195986129155197216264308
byla5378580001074989109149
představena3047594001075078122173207237279320364413455
v35295940010741
80.3597594001074591107
letech373159400107196493136179228
20.3986594001074488104
století4118594001073464111132177205225
Kendrickem,4370594001074590139189217236278316360436452
tyto4849594001072872104152
dlahy5028594001075069111160199
mohou52545940010775125175224274
být3047608001075089120
aplikovány3191608001074190110128166213253295343381
také3596608001072869107150
pacientům3770608001074991131150194242269317390
s41836080010734
podezřením4240608001075099149193230257300348367441
na4704608001074889
zlomeninu4816608001073756104178223271289337385
v52246080010741
oblasti5288608001074898118158192221239
horního3047622001074999126177196247297
konce3371622001073987137178222
stehenní3620622001073464108157203252301320
kosti.3968622001073887121151171187
Původní4182622001074694136185236286305
Kendrickem4514622001074690139190217237278317361437
vyvinutá4978622001074186131151200249278320
dlaha5326622001074969111160202
byla3047636001075089109149
jako322063600107196098145
první3389636001074976120169188
použita3601636001074998147183202230272
i38976360010718
pro3939636001075077124
dětské4086636001074993121156193236
pacienty.4346636001075091132151194242269312324
Trakce4694636001074163104142181224
unipolární4942636001074795114163213232273299348367
dlahy5332636001074968109157195
je3047650001072065
podle31406500010751102153173219
typu3386650001072973125175
výrobce3589650001074287115164216258302
dosaženo39196500010750100135178217261311361
dotahováním43086500010750100128171221271313356406425501
kotníkové4837650001073988116166186227276318362
objímky52276500010749101121141216256300
pomocí3047664001075099172221262280
jednotlivých3344664001071963113161209236255273314357397445
popruhů3805664001075099149176224272319
(např.4141664001072369109159185196
Kendrick4353664001074588136185212231271309
Traction4678664001074263105145175194242290
Device,49856640010758102143162202245259
Tactical5261664001074176117147166206247266
Traction3047678001074263105145175194242291
Splint),3364678001074190110128176203227240
pomocí3630678001074999173221263281
kladky393767800107385899148186229
(např.4192678001072469110160186197
dlaha4414678001074968109157198
CT-6)4637678001075297119167189
nebo4852678001074892142191
šroubovitým5069678001073359106155204253294313341384458
rozporovým3047692001072672106154202227273312354426
mechanismem34886920010772115155201240287304336407450521
(např.4024692001072368107155180190
CT-7).4229692001075094115153177189
Oba44336920010759108148
typy4596692001072768117155
lze476669200107195495
aplikovat4876692001074088107124160206245285311
současně5202692001073379126165205237283326
s30477060010733
použitím3096706001074997144180198226244316
pánevního3427706001074990137180220268286335382
pásu3825706001074989122168
[5,400870600109256986
6].410970600109456941777060010715
Obecnou42087060010760109153193240288335
kontraindikací4558706001073884132158184224242289338356392434473491
použití5065706001074997144180198226244
všech5325706001074072116156203
typů3047720001072870119167
trakčních323072000107285495132171218236276323
dlah3569720001074967107155
je3740720001071962
zlomenina3818720001073655103176220267285333373
v42077200010740
oblasti4263720001074897116156189217236
dolního4515720001074896115162181230278
konce4809720001073784132172214
stehenní5039720001073362104151195242290308
kosti5363720001073884117146164
a30477340010741
ipsilaterální3113734001071868101120138179206249275317336383402
zlomenina3540734001073655104178222270289337377
bérce3942734001075095121160203
včetně4169734001074180123150199243
amputace.44377340010740114163212240281322364379
Tuto4841734001074284112158
kontraindikaci5024734001073885134161188229248296345364402444485503
však3047748001074175118156
nemá3230748001074994169210
teleskopická346774800107287191136170208256307327368406449
trakční394374800107285598136176225244
dlaha4214748001074969110159200
STS4441748001074286130
(Slishman459774800107256584103137185260301350
Traction4974748001074264106147178197246295
Splint)5296748001074392113131180207231
představená3047762001075077120170203232274314357405446
v35207620010740
roce3587762001072674115158
20073771762001074487133174
[7].397276200109267310040707620010716
Ve4112762001074687
srovnávací4226762001073460107147197238277319360379
studii4631762001073463111161179198
této485576200107287199146
dlahy5027762001074968109157196
s52497620010734
jinými531076200107193886124199218
unipolárními3047776001074896114164213233273300348367441459
dlahami3525776001074968108156197271289
byla3833776001075089109149
vyhodnocena4001776001074184133181231279328369411460500
jako452077600107196098145
nejvhodnější4683776001074993112153202250300348392411443462
při516377600107507796
použití5278776001074998147183202231249