- See: -
Closed Reduction -
Gravity Method of Stimson:
- Discussion: - pt lies supine, & assistant applies countertraction by downward pressure on the ASIS; - surgeon grasps affected limb at ankle w/ one hand, places opposite forearm behind the knee, and applies longitudinal traction in line of deformity; - adducted & internally rotated thigh is flexed > 90 deg on abdomen; - this relaxes the Y ligament and allows the surgeon to bring the femoral head near the posteroinferior rim of the acetabulum - while traction is maintained, femoral head is levered into acetabulum by abduction, external rotation, and extension of hip. - after reduction: - avoid: flexion, internal rotation, and adduction; - traction is maintained until pt. is pain free (2 wks) ------------------------------------------- Reduction of posterior dislocation of the hip in the prone position. Herwig-Kempers A. Veraart BE. Journal of Bone & Joint Surgery - British Volume. 75(2):328,1993 Mar.
- Reverse Bigelow's Maneuver: - position of hip is partial flexion and abduction; - two methods of reduction: - first is lifting method, in which firm jerk is applied to flexed thigh; - this often results in reduction except in pubic dislocations; - if lifting method fails, traction is applied in the line of deformity; - hip is then adducted, sharply internally rotated, and extended; - one must be careful using this technique, since sharp internal rotation can result in frx of the femoral neck;
