User:Mr. Ibrahem/Hip reduction
Template:Infobox medical intervention Hip reduction is a number of techniques used to restore a dislocated hip.[1] It should be carried out soon after the diagnosis is confirmed.[1][2] In those who have an associated fracture, surgical reduction may be required.[1] Complications of delay may include avascular necrosis of the hip and sciatic nerve injury.[1]
It is generally carried out under procedural sedation and analgesia (PSA) with the person on their back.[1] The hip and knee are than bent to 90 degrees while an assistant pushes downward on the pelvis.[1] Techniques than include some combination traction-countertraction and internal and external rotation.[1] If this is not sufficient a sheet may be used to pull the upper thigh outwards.[1]
Following the procedure further X-rays or a CT scan should be done to verify reduction and rule out complications.[1][3] Some recommend that an abduction pillow is than be placed between a persons legs.[1] Following this partial weight-bearing with crutches is recommended for 4 to 6 weeks.[3] The first techniques to reduce a hop without surgery were described in 1870.[3]
References
change- ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 "How To Reduce a Posterior Hip Dislocation - Injuries; Poisoning". Merck Manuals Professional Edition. Archived from the original on 29 September 2021. Retrieved 29 September 2021.
- ↑ Gottlieb, Michael (June 2022). "Managing Posterior Hip Dislocations". Annals of Emergency Medicine. 79 (6): 554–559. doi:10.1016/j.annemergmed.2022.01.027. Archived from the original on 19 August 2022. Retrieved 12 August 2022.
- ↑ 3.0 3.1 3.2 Masiewicz, Spencer; Mabrouk, Ahmed; Johnson, Dean E. (2022). "Posterior Hip Dislocation". StatPearls. StatPearls Publishing. Archived from the original on 13 February 2022. Retrieved 13 February 2022.