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Posterior hip dislocation, a new technique for reduction.

¹Yale University School of Medicine, New Haven, Connecticut.

Orthopaedic Review

|June 1, 1986

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A novel technique simplifies closed reduction for posterior hip dislocations. This method uses specific positioning and a push-pull maneuver, proving effective and complication-free in patients.

Area of Science:

Orthopaedic Surgery
Trauma Management
Biomechanical Engineering

Background:

Acute posterior hip dislocation is a frequent and severe orthopaedic issue.
Existing reduction techniques can be complex and may require significant assistance.

Purpose of the Study:

To introduce and evaluate a new, simplified technique for the closed reduction of posterior hip dislocations.
To assess the efficacy, simplicity, and safety of this novel approach.

Main Methods:

The technique involves a lateral decubitus position with exaggerated deformity (100° flexion, 45° internal rotation, 45° adduction).
It utilizes palpation of the femoral head and greater trochanter, combined with a gravity-assisted, simultaneous push-pull maneuver.
The procedure was performed on 18 awake, sedated patients with the assistance of only one person.

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Main Results:

The new technique was successfully employed in all 18 patients.
Reduction was achieved effectively with minimal assistance.
No complications were reported during or after the reduction procedures.

Conclusions:

This novel closed reduction technique for posterior hip dislocation is simple and effective.
It offers a safe and complication-free method for managing both posttraumatic and artificial hip dislocations.
The technique's ease of use and minimal assistance requirement make it a valuable addition to orthopaedic practice.