27252 Closed treatment of hip dislocation, traumatic; requiring anesthesia

Name of the Procedure:

Closed Treatment of Hip Dislocation, Traumatic; Requiring Anesthesia
Common Names: Closed Reduction of Hip Dislocation

Summary

This procedure involves repositioning a dislocated hip joint without the need for an open surgical incision. Anesthesia is used to ensure the patient is comfortable and immobile during the process.

Purpose

This procedure addresses traumatic hip dislocations, usually resulting from severe injury such as a fall or car accident. The goal is to return the hip joint to its normal position, relieving pain, preventing further injury, and restoring joint function.

Indications

• Severe hip pain and immobility following trauma
• Visible deformity or shortening of the affected leg
• Confirmed hip dislocation via imaging studies (X-ray, MRI)

Preparation

• Patient may need to fast (no food or liquids) for 6-8 hours before the procedure.
• Adjustments to routine medications as directed by the physician.
• Pre-procedure imaging (X-rays or MRI) to confirm dislocation.

Procedure Description

1. The patient is given general anesthesia or sedation to ensure they are unconscious and pain-free.
2. The healthcare provider uses manual techniques to manipulate the hip back into its socket.
3. Constant monitoring via imaging is carried out to confirm successful re-alignment.
4. The hip joint is then stabilized, possibly with a brace or traction, to maintain the correct position during initial healing.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

This procedure is usually carried out in a hospital setting, specifically in an emergency department or a surgical center.

Personnel

• Orthopedic Surgeon or Emergency Physician
• Anesthesiologist or Nurse Anesthetist
• Nurses and Radiology Technicians

Risks and Complications

• Localized pain and swelling post-reduction
• Potential for nerve or blood vessel damage
• Rare risk of fracture during manipulation
• Possible re-dislocation of the hip
• Complications related to anesthesia

Benefits

• Immediate pain relief and improved mobility
• Non-invasive compared to open surgical procedures
• Quicker recovery time with fewer complications

Recovery

• Close monitoring in the recovery area until anesthesia effects wear off.
• Instructions on weight-bearing restrictions, often using crutches or a walker.
• Physical therapy may be recommended to strengthen the joint.

• Follow-up appointments for further imaging and to monitor healing.

  Alternatives

• Open surgical reduction (used if closed reduction is unsuccessful or if there are associated fractures)
• Long-term use of a hip brace or traction
• Pain management and conservative rehabilitation without immediate reduction (in certain cases)

Patient Experience

• Minimal sensation during the procedure due to anesthesia.
• Post-procedure discomfort managed with pain medications.
• A feeling of soreness and restricted movement initially, gradually improving with recovery.
• Supportive care and physical therapy to assist in returning to normal activities.