Dislocated Hip Reduction and Fixation

A dislocated hip occurs when the ball-shaped head of the femur (thighbone) is forced out of its socket (acetabulum) in the pelvis. Hip dislocations are often caused by high-energy trauma, such as car accidents or falls. Reduction refers to the process of putting the hip back into its proper position. Fixation involves stabilizing the hip to prevent re-dislocation.

Surgery may be necessary when:

Irreducible Dislocation: When a closed reduction (non-surgical manipulation) is unsuccessful.
Associated Fractures: When the hip dislocation is accompanied by fractures of the femur or acetabulum.
Loose Bone Fragments: When there are bone fragments within the joint.
Neurovascular Compromise: When the dislocation is affecting nearby nerves or blood vessels.
Delayed Presentation: in some cases, when the dislocation has been present for a longer period of time.

Closed Reduction: Non-surgical manipulation of the hip back into its socket.
Open Reduction and Internal Fixation (ORIF): Surgical realignment of the hip and fixation with screws, plates, or other hardware.
Hip Arthroplasty (Replacement): In severe cases, especially with associated fractures or arthritis, hip replacement may be necessary.

Anesthesia: General or regional anesthesia is used.
Incision: An incision is made over the hip joint.
Joint Visualization: The surgeon directly visualizes the dislocated hip.
Hip Reduction: The femur head is manually realigned and placed back into the acetabulum.
Fixation: Screws, plates, or other hardware are used to stabilize the hip.
Ligament/Labrum Repair (if necessary): if ligaments or the labrum are damaged, they are repaired.
Closure: The incision is closed with stitches or staples.

Hospital Stay: A hospital stay is typically required.
Pain Management: Pain medication is prescribed.
Weight-Bearing Restrictions: Weight-bearing restrictions are necessary for a period of time.
Physical Therapy: Rehabilitation is crucial for regaining hip strength and range of motion.
Activity Restrictions: Certain activities are restricted for several months.

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.