Dislocations and Fracture Dislocations of the HipANTERIOR · 10-15% of hip dislocations · Limb externally rotated and abducted Treatment · Closed reduction - multiple attempts not advisable · If CR unsuccessful perform open reduction via anterior type approach Technique Allis's maneuver · Patient supine, knee flexed, assistant stabilises pelvis and applies lateral traction force to inner thigh · Longitudinal traction, hip slightly flexed, adducted and internally rotated to reduce Complications · Neurovascular compromise - direct pressure on femoral artery, vein or nerve · Post traumatic arthritis develops in 30% · AVN less than in posterior dislocation ~ 8% of cases POSTERIOR · 80% of hip dislocations · Limb internally rotated and adducted · Neutral/adduction at time of injury - simple dislocation only · Abduction at time of injury - fracture posterior acetabular wall Complications · Associated knee ligament injuries especially PCL, posterolateral complex · Sciatic nerve injury 10-14% · Superior gluteal artery injury This is a preview of the site content. To view the full text for this site, you need to log in. If you are having problems logging in, please refer to the login help page. |
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