Evid Based Nurs 5:24 doi:10.1136/ebn.5.1.24
  • Treatment

Preoperative pillow placement under the injured extremity had better analgesic effects than skin traction for hip fracture

 QUESTION: What is the comparative analgesic effectiveness of preoperative placement of a pillow under the injured extremity and skin traction in patients with hip fracture?


Randomised (unclear allocation concealment), unblinded trial with follow up at 15 minutes and 1 day after the intervention.


A university medical centre in New York, USA.


100 patients aged ≥50 years (mean age 78 y, 78% women) with an isolated femoral neck fracture (n=55) or intertrochanteric hip fracture (n=45). Exclusion criteria included dementia, concomitant injury, delayed hospital presentation (>24 h after initial injury), or inadequate cognitive function. 96% of patients had follow up on the morning after the intervention.


Preoperatively, patients were allocated to have a pillow placed under the ipsilateral thigh of the injured hip in the resting position of the extremity …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article