概述 髋关节脱位分类 急诊闭合复位(12 小时内)
1、后脱位: ① Allis 法: 病人仰卧,助手双手按压两侧髂前上棘固定骨盆,术者手握患肢踝部,另一前臂置于小腿上端近腘窝处,使髋、膝关节屈曲 90°,向上用力持续牵引。
并发症 tips: 3、闭合复位后,对于单纯性后脱位,应皮牵引固定于轻度外展位,前脱位需固定于轻度内内旋位,牵引时间 3 ~ 4 周,其后扶双拐下地活动,患肢部分负重。 作者:杨医生 参考文献(比较多): 1、实用骨科学 2、Mandell J C , Marshall R A , Weaver M J , et al. Traumatic Hip Dislocation: What the Orthopedic Surgeon Wants to Know[J]. Radiographics, 2017, 37(7):2181-2201. 2、AAOS Essentials of Musculosketal Care 5th 3、Chen W , Gao Z , Ma L . Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy[J]. International Orthopaedics:1-6. 4、坎贝尔骨科手术学 5、创伤骨科手术学 6、Shigemura T , Miura M , Murata Y , et al. A new closed reduction technique using a traction table to treat a traumatic posterior dislocation of the hip joint[J]. Orthopaedics & Traumatology Surgery & Research, 2020, 106(5). 7、Rouzrokh Pouria,Ramazanian Taghi,Wyles Cody C et al. Deep Learning Artificial Intelligence Model for Assessment of Hip Dislocation Risk Following Primary Total Hip Arthroplasty From Postoperative Radiographs.[J] .J Arthroplasty, 2021, 36: 2197-2203. 8、Sanders S , Tejwani N , Egol K A . Traumatic hip dislocation: A review[J]. Bulletin of the NYU hospital for joint diseases, 2010, 68(2):91-96. 9、Agarwal P , Khadilkar S , Handralmath S , et al. Anterior Inferior Hip Dislocation: Report of Three Cases and Review of Literature[J]. Journal of Orthopaedic Case Reports, 2021, 11(3):71-74. 10、Milenkovic Sasa,Mitkovic Milan,Mitkovic Milorad,Avascular necrosis of the femoral head after traumatic posterior hip dislocation with and without acetabular fracture.[J] .Eur J Trauma Emerg Surg, 2022, 48: 613-619. 11、Wojahn Robert D,Kleweno Conor P,Agel Julie et al. Anterior Hip Dislocation: Characterization of a Rare Injury and Predictors of Functional Outcome.[J] .Injury, 2021, 52: 2327-2332. |
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