Fracture Traction Duration: Typical Timeline & Milestones

Skeletal traction for long-bone fractures (femur, tibia) typically continues 4–6 weeks until early callus formation permits transition to functional bracing or weight-bearing.

Phases

• Acute (0–2 wks): Pain control, pin-site care, DVT prophylaxis, radiographic alignment checks.
• Subacute (2–4 wks): Progressive quadriceps/gluteal isometrics, bed mobility, wheelchair training.
• Transition (4–6 wks): Bridging callus on X-ray → removable brace, partial → full weight-bearing per surgeon.

Factors prolonging traction: open fracture, infection, nonunion risk, patient compliance, comorbidities. Modern nailing often obviates prolonged traction.