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Allis’s maneuver: for Hip Dislocation

Discussion

  • patient is placed in the supine position;
  • knee is flexed to relax the hamstrings;
  • assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh;
  • longitudinal traction is applied in line w/ axis of femur, and the hip is slightly flexed;
    • essential feature is traction in direct line of deformity, followed by gentle felxion of the hip to 90 deg;
  • surgeon gently adducts & internal rotates the femur to get reduction;
  • hip is gently rotated internally & externally w/ continued longitudinal traction until reduction is achieved