The Hip: Preservation, Replacement and Revision

Gravity Method of Stimson

- See: 
- Bigelow's Maneuver: for Posterior Hip Dislocation 

- Closed Reduction 
- Discussion:

- described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method; 
- believed to be least traumatic; 
- pt is in prone position w/ lower limbs hanging from end of table; 
- assistant immobilizes the pelvis by applying pressure on the sacrum; 
- hold knee and ankle flexed to 90 deg & apply downward pressure to leg just distal to the knee; 
- gentle rotatory motion of the limb may assist in reduction; 

- Contraindications:
 
 - superior dislocations of the pubic type in which the hip presents in extension are not amenable to a Stimson's maneuver because of the need for further extension to acheive reduction


Reduction of posterior dislocation of the hip in the prone position.




Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, September 6, 2012 11:50 am