Name of the Procedure:

Closed Treatment of Hip Dislocation, Traumatic; Without Anesthesia
Common name(s): Closed Reduction of Hip Dislocation

Summary

A closed treatment of a traumatic hip dislocation without anesthesia is a medical procedure where a displaced hip joint is manually manipulated back into its correct position without the use of anesthesia.

Purpose

This procedure addresses the dislocation of the hip joint due to a traumatic injury.
Goals:

• Restore normal alignment of the hip joint.
• Relieve pain and improve mobility.
• Prevent complications associated with prolonged dislocation, such as nerve damage or blood vessel injury.

Indications

• Traumatic hip dislocation.
• Acute pain and inability to move the affected leg.
• Immediate or emergency situations where anesthesia is not available or safe.

Preparation

• A physical examination to assess the severity of the dislocation.
• Imaging tests, like X-rays or MRI, to confirm the diagnosis and plan the reduction.
• Patient should inform the medical team of any existing medical conditions or medications.

Procedure Description

1. Positioning: The patient is placed in a position that allows easy access to the hip joint.
2. Manipulation: The healthcare provider manually maneuvers the leg to guide the femoral head back into the hip socket.
3. Verification: Post-reduction imaging is performed to confirm successful realignment.

Tools/Equipment: Minimal equipment, primarily skilled hands and sometimes imaging tools.

Duration

The procedure typically takes about 10-20 minutes.

Setting

Usually performed in a hospital emergency room or an outpatient clinic.

Personnel

• Orthopedic surgeon or emergency physician.
• Supporting healthcare professionals like nurses.

Risks and Complications

• Pain during the procedure due to lack of anesthesia.
• Potential for incomplete or unsuccessful reduction.
• Risk of recurrent dislocation.
• Possible nerve or blood vessel injury.
• Post-reduction stiffness or immobility.

Benefits

• Immediate relief from hip pain.
• Restoration of normal hip joint function.
• Quick improvement in mobility.

Recovery

• Observation for a short period to ensure stability of the hip.
• Pain management with medications.
• Avoid strenuous activities and follow a prescribed physical therapy regimen.
• Follow-up appointments to monitor healing and hip function.

Alternatives

• Closed reduction with anesthesia: More comfort during the procedure but requires anesthesia preparation.
• Surgical treatment (open reduction) in cases where closed reduction is not successful.

Patient Experience

Patients may experience significant discomfort during the procedure due to the absence of anesthesia. Post-procedure, there may be relief from the acute pain of the dislocation, though some residual soreness and discomfort can persist. Pain management strategies and physical therapy are essential for optimal recovery.