Dissector of gluteal region                       Hip joint               Hip bone    Hip bone Search

Causes Diagnosis Management
  • Central dislocation is caused by fall from height when the hip is extended and abducted.
  • Central dislocation occurs with fracture of acetabulum.
  • Sciatic nerve injury is a common complication of all dislocations
 
  • 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 without rotation.
  • For unstable and large acetabular fracture with acetabular fragment use double hip spica or Thomas' splint.
  • Skeletal traction is used for central fracture dislocation.
  • 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 exposure of hip can be performed if reduction is not achievable by closed means.
            
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A bad fall

 

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Central dislocation
 

Double and single plaster hip spica                   

 

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