Closed reduction of posterior hip dislocation: the Rochester method

This paper describes a new technique of closed reduction for a dislocated normal hip or a dislocated prosthetic total hip. The Rochester method is unique in that it can usually be done by one trained medical care provider, whereas many other reduction techniques require one or more assistants. The patient is placed in the supine position and reduction is performed while the patient is sedated, although some patients may require an anesthetic. The medical care provider uses his or her non-dominant arm for pelvic counterforce, while the other arm provides longitudinal traction and rotation control. Most reductions can be done in the emergency department.