Bilateral dislocation of the hips
Traumatology / / August 12, 2017
bilateral hip dislocations are more likely to "participate" in severe polytrauma, although their frequency among small hip dislocations.
Various provisions of the hip at the rear and front dislocations may be the cause of view of one of them.Bilateral dislocation of the hips is usually combined with severe multiple fractures of the pelvis or acetabulum, with fractures of the lower limbs, especially fractures of the femur, patella and tibial bones (the least favorable combination), less often they are accompanied by a skull injury, fractures of the shoulder girdle, ribs.
Bilateral hip dislocation is often accompanied by damage to the sciatic nerve and its branches, until his head splitting hip.
First aid for bilateral hip dislocation
First aid is to transport the victim to the shield.
- Dislocation shin
- Dislocation brush
- Dislocations of the hip
- Plaster bandages
- Bilateral fractures of the fibula
- Bilateral fractures of the foot
- bilateral calcaneus fractures
bilateral dislocated hips
Treatment Treatment should consist of one-stage bloodless reposition each dislocation in accordance with his character, with parallel conduct anti-shock therapy and good pain relief with the relaxation of the muscles.After reduction of dislocation is usually used light lip stretching, at least - two-way pelvis plaster cast.In fractures of the pelvis or hips, as well as a failed reposition one or both of dislocation is advisable to apply distraction devices providing dosage helical rod of the proximal or distal (if there is no fracture) femur with respect to the same name of the ilium (by spokes with thrust pads or screws).
Early movement in the joints (no load) after 7-8 weeks after injury may provide a good functional outcome of the injury.Development of deforming arthrosis, unfortunately, can not be provided, it complicates about 70% reduction of dislocation of the hip joint.