Closed reduction of the traumatic posterior-dislocation of hip joint using a novel sitting technique

Abstract

Rationale:Traumatic hip dislocation is a common joint dislocation. Delayed reduction has been shown to increase the risk of avascular necrosis of the femoral head. Most of the traditional methods must be performed under general anesthesia or spinal anesthesia to relax hip muscles. Anesthesia will prolong the interval between the injury and the reduction.Patient concerns:16 patients presented with hip pain and a leg shortened, flexed, internally rotated and adducted.Diagnoses:X-ray and CT-scan showed acute closed posterior dislocation of hip.Interventions:Closed reduction of the traumatic posterior-dislocation of hip joint using a novel sitting technique.Outcomes:Among these 16 patients, 15 hips were successfully reduced using the Sitting Technique (table 1), indicating the success rate was 93.8%(15/16). A total of 12 patients were followed up, with a mean period of 23.5 months (range, 6–72 months). Among these 12 patients, 10 patients (83.3%) had excellent grade, 2 patients (16.7%) had good grade.Lessons:Sitting technique for treatment of traumatic posterior dislocation of hip joint does not need anaesthesia, which it shortens the interval between the injury and the reduction and saves valuable time for 6 hours of joint reduction. On the other hand, this method does no harm to the physicians’ low back.

Landmark-guided pericapsular nerve group (PENG) block for reduction of dislocated prosthetic hip: A case report

“…[ 1 ] Reduction of dislocated hip with prosthesis can be done under conscious sedation; however, failure in reduction and complications related to over sedation are serious concerns. [ 1 ] A technique of hip reduction without anesthesia has been suggested by Zhou et al ,[ 5 ] but prone position of a patient with painful hip is difficult to obtain. Both of our patients were full stomach and were unable to sit due to severe pain therefore, general anesthesia, deep intravenous sedation, and neuraxial block were not tried.…”

External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases.

“…Most dislocations are caused by motor vehicle accidents and associated with unfastened safety belts [2]. Early recognition and a prompt reduction is of great importance [3,4] because delayed diagnosis may lead to long-term complications including avascular necrosis of the femoral head (AVN) and osteoarthritis [5]. Neglected hip dislocations are rarer in adults, especially in high-income countries [6].…”

External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases

“…Most dislocations are caused by motor vehicle accidents and associated with unfastened safety belts [2]. Early recognition and a prompt reduction is of great importance [3, 4] because delayed diagnosis may lead to long-term complications including avascular necrosis of the femoral head (AVN) and osteoarthritis [5]. Neglected hip dislocations are rare in adults, especially in high-income countries [6].…”