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首页> 外文期刊>Injury >A simple technique for reducing posterior hip dislocation: The foot-fulcrum manoeuvre.
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A simple technique for reducing posterior hip dislocation: The foot-fulcrum manoeuvre.

机译：一种减少后髋关节脱位的简单技术：足支点操纵。

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With more and more people receiving total hip arthroplasty (THA), postoperative dislocation following THA is a common complication, with reported rates ranging from 1 to 4.9%. A variety of techniques for the closed reduction of the dislocated hip have been described in the literature. 10,13,14,16 Methods that require a prone or lateral position can be difficult without general anaesthesia or impossible with multiple traumatized patients. In addition, the prone position can impede monitoring of the sedated patient. The Allis and Bigelow technique is extremely physically demanding. The patient is supine, and the affected limb is hoisted and manipulated against gravity while assistants stabilize the pelvis. The surgeon usually stands over the patient lying on a stretcher. The surgeon pulls up the bent knee on a stretcher, which can put the surgeon at a risk of falling from a height. In addition, the surgeon can easily feel fatigue if the pelvis tips up, causing an ineffective attempt. An ideal reduction manoeuvre should include following conditions: (1) the patient should have adequate pain relief and muscle relaxation; (2) the surgeon should require minimal exertion for controlled traction and rotation of the joint; (3) the surgeon should avoid the unnecessary risk of back strain or falling down while performing the reduction; and (4) a single surgeon should be able to perform the closed reduction manoeuvre with the help of only one assistant. In this article, we describe a different, effective, and simple technique for closed reduction of hip dislocation.
机译：随着越来越多的人接受全髋关节置换术（THA），THA术后的脱位是一种常见的并发症，报道的发生率为1％至4.9％。在文献中已经描述了各种用于闭合复位髋关节脱位的技术。 10,13,14,16如果不进行全身麻醉，则需要俯卧或侧卧的方法可能会很困难，而对于遭受多处创伤的患者则不可能。另外，俯卧位置会妨碍对镇静患者的监视。 Allis和Bigelow技术对身体的要求很高。患者仰卧，并且在助手稳定骨盆的同时抬起并操纵患肢抵抗重力。外科医生通常站立在担架上的病人上方。外科医生抬起担架上弯曲的膝盖，这可能使外科医生有从高处跌落的危险。此外，如果骨盆翻倒，外科医生很容易感到疲劳，从而导致无效的尝试。理想的减轻动作应包括以下情况：（1）患者应有足够的缓解疼痛和肌肉松弛的作用; （2）外科医生应尽量减少用力，以控制关节的牵引和旋转; （3）外科医生在进行复位时应避免不必要的背部劳损或跌倒的危险; （4）一名外科医生只能在一名助手的帮助下进行闭合复位手术。在本文中，我们描述了另一种有效，简单的技术来闭合复位髋关节脱位。

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