27266 Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia

Name of the Procedure:

Closed Treatment of Post Hip Arthroplasty Dislocation; Requiring Regional or General Anesthesia

Summary

This procedure involves non-surgical manipulation to correct a dislocated hip joint that has previously undergone arthroplasty (hip replacement). It requires the patient to be under regional or general anesthesia to ensure comfort and minimize pain.

Purpose

The purpose of this procedure is to address a dislocation of the hip joint following a hip replacement surgery. The goals are to realign the hip joint, relieve pain, and restore normal function and mobility to the hip.

Indications

• Sudden pain in the hip area following hip replacement surgery.
• An abnormal position of the hip joint or difficulty in standing and walking.
• Diagnostic imaging confirming hip joint dislocation.

Preparation

• Patients may need to fast for 6-8 hours prior to the procedure.
• Medications may need to be adjusted; specific instructions will be given by the healthcare provider.
• Diagnostic tests such as X-rays or MRI scans are typically performed to confirm dislocation.

Procedure Description

1. The patient is given regional or general anesthesia to ensure they are comfortable and pain-free.
2. The healthcare provider will use manual manipulation techniques to realign the dislocated hip joint. This involves carefully positioning and moving the leg in a specific manner to guide the hip back into place.
3. Diagnostic imaging (e.g., X-ray) may be used to confirm the successful repositioning of the joint.
4. After successful realignment, the patient may be placed in a stabilization device to maintain joint position.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

The procedure is usually performed in a hospital or surgical center, often in an operating room or a specialized procedure room.

Personnel

• Orthopedic surgeon or physician
• Anesthesiologist
• Surgical nurse
• Radiologist (if imaging is required during the procedure)

Risks and Complications

• Potential for recurrence of hip dislocation.
• Risk of injury to the hip joint or surrounding structures.
• Possible adverse reactions to anesthesia.
• Risk of blood clots or infection.

Benefits

• Relief of pain caused by the dislocated joint.
• Restoration of normal hip function and mobility.
• Avoidance of more invasive surgical procedures.

Recovery

• Post-procedure instructions may include rest, use of crutches or a walker, and avoidance of certain activities to prevent recurrence.
• Physical therapy may be recommended to strengthen hip muscles and improve joint stability.
• Follow-up appointments will be scheduled to monitor recovery.
• Recovery time may vary, but patients can generally resume light activities within a few weeks and full activities after a period of rehabilitation.

Alternatives

• Open surgical reduction, which involves a more invasive surgery to correct the dislocation.
• Conservative management with traction and bed rest, though less common and typically less effective.
• Each alternative comes with its own set of risks and benefits compared to closed treatment.

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel any discomfort. Post-procedure, there may be some soreness or discomfort in the hip area, which can be managed with pain medications prescribed by the healthcare provider. Proper post-procedure care and following the doctor's instructions will help ensure a smooth recovery and prevent recurrence.