A new technique for closed reduction of posterior dislocations of the hip
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:103
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Sharma S, Kumar V, Dhillon M
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Introduction: Many techniques have been described for closed reduction of posterior hip dislocations. Commonly employed techniques inlcude Allis manoeuvre, the Bigelow manoeuvre and the East Baltimore lift. However, these techniques require forceful and sustained traction, one or more assistants to stabilize the pelvis and awkward positioning of the surgeon and/or the patient. In view of these shortcomings with the present techniques, 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.
Materials and Methods: Prospective, non comparative study. All patients with posterior hip dislocation were included. Closed reduction was performed in all cases by our new technique under short sedation. Outcome measures included successful closed reduction, number of attempts needed and complications.
Results: 15 patients (13 males and 2 females) were included. Mean age was 36.4 years. As per the Thompson & Epstein classification of posterior hip dislocations 5 cases were type I, 4 cases type II and 6 cases were type III. Associated ipsilateral lower injuries included knee dislocation with patellar fracture in one case and tibia fracture in two cases. Closed reduction was achieved in 14 (93.3%) cases. One case was irreducible due to incarceration of a posterior wall fragment and was managed by open reduction and internal fixation. Reduction was achieved in one attempt in 13 cases and two attempts in 1 case. There were no iatrogenic complications.
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 S, Kumar V, Dhillon M. A new technique for closed reduction of posterior dislocations of the hip. International Journal of Conference Proceedings 2015;(2015):103|