What advantage is there to using Sager’s revolutionary Malleolar (Ankle) Harness?

  • There is less chance of cutting off circulation with the Sager Malleolar Harness (ankle harness) because it is applied above the malleoli of the ankle away from the posterior tibial and dorsalis Pedis Arteries. These arteries are deep in the ankle at the site of application of the Sager Malleolar Harness.

  • The Sager Malleolar Harness is quick and easy to apply.

  • The Sager Malleolar Harness is now copied and used by almost all splint manufacturers.

The traditional triple and quadruple type harnesses used with Ischial Pad Traction Splints are applied lower over the foot — directly over the dorsalis pedis and posterior tibial arteries at the location in the foot where they are most superficial and most susceptible to pressure or injuries.

Is there a danger that external rotation of the fractured Femur can occur using a Sager Splint?

No, not when the Sager Splint is properly applied and the Pedal Pinion (figure 8 strap) is used to bind the feet together. External rotation of a fractured femur can and does happen using Ischial Pad Traction Splints that have the foot end raised on a tripod — where the feet cannot be bound together.


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Is elevation of the foot much better for prevention of leg congestion and swelling?

Any elevation of the injury and the limb distal to it can be helpful — but look at the facts;

  • Most Ischial Pad Traction Splints in use today elevate the foot seven (7) inches. The hip may not be elevated at all, or at most, be elevated one (1) to two (2) inches.

  • If the foot is the injured part, there may be some improvement in drainage and a decrease in congestion and swelling of that foot. However, this does nothing for drainage of the injured Femur.

  • In order to take advantage of elevation, one would have to raise the foot (ankle) approximately twenty-two (22) inches in order to raise the femoral injury above the level of the heart. However, even this extreme elevation will not raise the injury above the level of the patient’s heart when the fracture is at the proximal end of the Femur.

  • Ischial Pad Traction Splints can not raise Femurs above the level of the heart , therefore, this minimal elevation is of no value. It can also be detrimental.

  • If elevation of the fracture site is desired, trendellenberg positioning of the patient should be considered. This is the only method to truly elevate the femur above the level of the patient’s heart.

Are Sager Splints contraindicated in the case of massive fractures of the pelvis?

Yes, but so are all traction splints — including Ischial Pad Traction Splints since they also can compress and deform the ischial tuberosity which is part of the pelvis and subject to movement.

Why should I purchase a Sager Splint when some hospitals in my area utilize Ischial Pad Traction Splints and can exchange splint for splint?

Sager Splints are the most advanced anatomical and medically engineered splints sold on the world market today. Remember…

  • The Sager Splint is the only splint that provides bilateral leg splinting capabilities. One splint can treat either an adult or child with one or two fractured femurs. Ischial Pad Splints require the purchase of four splints to have the range of use of one Bilateral Sager Splint.
  • Solution! Have your hospital join the increasing number of progressive hospitals who use Sager Splints exclusively for in-hospital and service exchange use!


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Are Sager Emergency Traction Splints comfortable to wear? Do they press against male and female genitalia?

To date, no significant complaint of discomfort due to pressure from the Perineal Cushion has been recorded. When patients do complain, there has been some aspect of technique in the application of the splint that has been overlooked. Remember…

  • Trials using a Sager Splint in practice situations should be undertaken with the "patient" wearing loose shorts and jeans so that natural genital mobility can take place. This is important for both male and female trainees/candidates.
  • In real life situations, clothing of course, should be opened, cut, and/or removed as part of the evaluation process of the patient.

The Ischial Perineal Cushion should be placed snugly in the lateral perineal area against the thigh and the ischial tuberosity and then strapped into place before applying traction.

What advantage is there to using a Sager Splint with Anti-Shock Trousers?

Sager Splints are so versatile that Anti-Shock Trousers can be applied over the leg of a patient wearing a Sager Splint just as easily — probably easier — than on a patient not wearing a splint at all. After the Sager is applied, the patient’s fractured femur is stabilized, and it becomes easy to clothe a patient in an Anti-Shock garment. Remember…

  • The shaft of the splint is closely applied to the medial side of the thigh and the Ischial Perineal Cushion is located so that it lies in the perineal opening of the Anti-Shock garment.
  • Since the splint is closely applied to the leg, there is excellent contouring of the pressure bladder of the trouser around the shaft of the splint and over the leg. The possibility of tenting between the shock trouser and the splint shaft is so small that it becomes negligible.
  • Ischial Pad Traction Splints are irregular in shape and poorly conform to the shape of a patient’s leg when Anti-Shock trousers are applied.


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Sager Splints provide medial/lateral splinting and traction as well as prevention of internal and external rotation. Is this less desirable than posterior splinting?

No, not at all. One might consider posterior splinting as most desirable if one was transporting a victim without the use of a basket, spine board, and/or stretcher. This never happens, so why provide posterior support on a device that requires posterior support to be effective? Remember…

  • Ischial Pad Traction splints must have a firm support beneath them in order to work and not slip off the ischial tuberosity. e.g. It is difficult to apply these devices in snow.
  • Time motion studies clearly reveal; an economy of time, decrease of unnecessary steps, decreased movement of the patient, and, a decrease in morbidity moving the patient from the place of injury to the hospital when a Sager splint is used.
  • Immobilization is better using a Sager Splint if the patient has a proximal fracture of the femur — which is the most common type of femoral fracture!
  • Sager’s splinting system works well with a Spine-board or Stretcher.

Will the elasticized Leg Cravats (straps) used with Sager Splints be harmful if applied directly over the fracture site?

No. The limb is immobilized by traction helping to bring the fractured bones into alignment. The three elasticized straps splint the leg — further immobilizing it and at the same time help to decrease the blood loss at the fracture site.

Sager Splints provide dynamic traction in pounds or kilograms.What happens if the calibrated spring breaks?

In over twenty-five (25) years of use there has never been an instance of the spring breaking.


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