Thank you all. I also agree. However I am searching for evidence on the topic. As you know recommendations have to be done based on evidence of these improvised devices, and I have not found much information on this topic.
It is still necessary to place a tracttion device to prevent mobilisation of the fracture ends so that a swelling and embolism risk can bereduced to a minimum . If possible in combination with a low molecular weight heparin.
The application of the Landstuhl frame for air evacuation of patients with femur fractures.
Legan J, Hayes BP.
Abstract
The use of traction to transport patients with femur fractures is well accepted. This paper describes step-by-step the construction of a traction device suitable for use on military aircraft. This "Landstuhl frame" is easily constructed using materials readily available. It is quick and effective for the transportation of patients with lower extremity fractures.