User:Mr. Ibrahem/Hip reduction

Hip reduction is a number of techniques used to restore a dislocated hip. It should be carried out soon after the diagnosis is confirmed. In those who have an associated fracture, surgical reduction may be required. Complications of delay may include avascular necrosis of the hip and sciatic nerve injury.

It is generally carried out under procedural sedation and analgesia (PSA) with the person on their back. The hip and knee are than bent to 90 degrees while an assistant pushes downward on the pelvis. Techniques than include some combination traction-countertraction and internal and external rotation. If this is not sufficient a sheet may be used to pull the upper thigh outwards.

Following the procedure further X-rays or a CT scan should be done to verify reduction and rule out complications. Some recommend that an abduction pillow is than be placed between a persons legs. Following this partial weight-bearing with crutches is recommended for 4 to 6 weeks. The first techniques to reduce a hop without surgery were described in 1870.