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A New Technique for Closed Reduction of Posterior Hip Dislocations - http://jocponline.com

A New Technique for Closed Reduction of Posterior Hip Dislocations

jocpadmin April 14, 2014 A New Technique for Closed Reduction of Posterior Hip Dislocations2014-04-16T11:41:29+00:00 IJOCP 2014 |Vol 1|Issue 1|

IJOCP | April 2014 | Volume 1 | Issue 1 | Page 12
Conference: North Zone Indian Orthopaedic Association Conference, 2014 – Amritsar, India [Click for Full details]

Authors: Siddhartha Sharma, Vishal Kumar, Mandeep S Dhillon
Deparment of Orthopaedics, PGIMER, Chandigarh, India
Address of Correspondence:
Dr. Siddhartha Sharma
Deparment of Orthopaedics, PGIMER, Chandigarh, India
Email- sids82@gmail.com

Abstract

Introduction– Many techniques have been described for closed reduction of posterior hip dislocations, but most require forceful and sustained traction, assistants to stabilize the pelvis and awkward positioning of the surgeon and/or the patient. We describe a new technique of closed reduction that does not need traction-countertraction or special positioning and can be safely and effectively performed by one surgeon.

Material & Methods: This was a prospective case series. All cases of traumatic posterior hip dislocations were included. Pathological dislocations and post hip arthroplasty dislocations were excluded.

Results: 15 patients, mean age 36.4 years, were taken up for reduction. There were 5 type I, 4 type II and 6 type III dislocations; ipsilateral injuries included one knee dislocation with patellar fracture, and two cases of tibia fractures. Closed reduction was achieved in 14 (93.3%) hips, with single attempt successful in 13 cases, while one needed two attempts. One hip could not be reduced due to incarceration of a posterior wall fragment and was managed by open reduction and internal fixation.

Conclusion: Our new technique has proved to be a reliable, safe and effective alternative for closed reduction of posterior hip dislocations. It can be carried out by one surgeon, does not need traction and can be especially beneficial in polytrauma patients and also in those patients who have pelvic fractures and ipsilateral lower limb injuries.

How to Cite this Abstract

Sharma Siddhartha, Kumar Vishal, Dhillon S Mandeep . A New Technique for Closed Reduction of Posterior Hip Dislocations. April 2014;1(1):12.