Technique of Inserting Skeletal Pins for Femoral Traction.

(A)A skeletal traction pin is inserted in the distal femur from medial to lateral. Local anesthetic is infiltrated down to the periosteum, and care is taken to avoid the neurovascular structures in the posteromedial aspect of the knee. A hand drill is used to insert the 3-mm Steinmann pin, and care is taken to avoid pinching of the skin, which can be painful.(B)The pin is padded, and a traction bow is attached.