Thomas Splint Information
The first line management of paediatric femoral fractures is with balanced traction in a Thomas Splint. In the West of Scotland there are two types of splints. The adjustable Thomas Splint made by Ossur which is out of production and those made by Kinetec. Kinetec are currently (2026) the only manufacturers of Thomas splints in the UK. The original information produced by our unit was designed for the splints supplied by Ossur but have been amended for the Kinetec splint.
RESOURCES
The Paediatric Orthopaedic Team in Grampain have produced an instructional video on how to apply a Thomas splint and apply the traction. The video may be found here
STEP-BY-STEP GUIDES
How to apply a Thomas Splint & Balanced Traction for the adjustable OSSUR splint
How to apply balanced traction to a Thomas Splint (in units where the balanced traction is applied on the ward after splint application in ED)
How to apply a Thomas Splint & Balanced Traction for the Kinetec splint
MANUFACTURER INFORMATION
Ossur splint - manufacturer instructions
Kinetec splint - manufacturer instructions
Kinetec splint - manufacturer video
Kinetec splint - website