- 期刊
- OpenAccess
Use of a fracture table for irreducible bipolar hemiarthroplasty dislocation: A case report
摘要
Introduction: This article describes a case in which a fracture table was used to successfully reduce a hip dislocation which was seemingly irreducible using other common methods. Case Report: A 53-year-old female presented to the authors' facility with pain in the right hip and an infected posterolateral hip incision. Radiographs showed a posterior dislocation of the right hip status post bipolar hemiarthroplasty. The patient was taken to the operating room and successfully closed reduced using the Allis method. The infection was eradicated with IV antibiotics and I & D. After six weeks of post reduction, the patient presented to the emergency room with another right hip dislocation. A closed reduction was attempted using the same technique as before, but it was unsuccessful. Based on the patient's chronic diagnosis (stage IV lung cancer) we chose to treat this again in a closed manner. The patient was transferred to a fracture table, and using longitudinal traction, a successful reduction was achieved. At final follow-up the patient had maintained reduction without signs or symptoms of infection. Conclusion: Use of the fracture table for hip reduction may be an option in certain selected patients.