Dissector of gluteal region                       Hip joint               Hip bone    Hip bone Search

Causes Diagnosis Management
  • Anterior dislocation is uncommon.
  • It occurs in forced abduction or external rotation
  • Fracture of acetabulum may also be a complication of anterior and posterior dislocations.
  • Sciatic nerve injury is a common complication of all dislocations
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  • Reduction 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.
  • For unstable and large acetabular fracture with acetabular fragment use double hip spica or Thomas' splint.
  • Immobilize in Thomas' 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.
  • Next allow mobilization without weight bearing for another 6 weeks before full use.
  • Open reduction with exposure of hip can be performed if reduction is not achievable by closed means.

Cause of anterior dislocation

 

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Anterior dislocation

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Position adopted in anterior dislocation

Double and single plaster hip spica                    l

 

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