blow to the hip through the long axis of the femur.
is common in road traffic accident and causes
which occurs with the hip in flexion and adduction.
dislocation is uncommon
dislocation is caused by fall from height when the hip is extended and
dislocation occurs with fracture of
may also be a complication of anterior and posterior
nerve injury is a common complication of all dislocations
e.g. Road traffic accident.
In posterior dislocation, the thigh is medially rotated and abducted. In
anterior dislocation, the thigh is laterally rotated, flexed and abducted.
Central dislocation causes shortening of lower extremity.
of function with restricted movement.
is carried out with patient lying down on a mattress. While the
pelvis is held to
the ground by an assistant, the surgeon pulls the knee up to provide
traction on the femur with
external rotation for posterior dislocation and internal rotation for
anterior dislocation and no rotation at all for central dislocation.
unstable and large acetabular fracture with acetabular fragment
use double hip spica or Thomas'
traction is used for central fracture dislocation.
splintThomas' splint with skin traction for 6 weeks initially or with
single hip plaster for stable fracture and double hip plaster for unstable
ones for 6 weeks.
allow mobilization without weight bearing for another 6 weeks before full
reduction with hip exposure can be performed if reduction is not achievable by closed means.