Canis ISSN: 2398-2942

Closed reduction: hip

Contributor(s): Melvyn Pond

Introduction

  • To relocate luxated hip.
  • Should be first method to be attempted as soon as possible following injury - best prognosis.
  • Following evaluation to ensure patient is safe to be anesthetized.

Uses

Advantages

  • Quick procedure requiring only short-acting anesthetic.

Disadvantages

  • Maintenance of closed reduction will be difficult if there are fragments of bone in acetabulum, where acetabulum is shallow or there are any signs of hip dysplasia.
  • Closed reduction will not be possible if there is soft tissue interposed between femoral head and acetabulum - further manipulation may result in reduction.
    Excessive attempts at closed reduction may produce more damage to soft tissue and cartilage.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good if no complicating factors.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Evers P, Johnston G R, Wallace L J et al (1997) Long-term results of treatment of traumatic coxofemoral joint dislocation in dogs - 64 dogs (1973-1992). JAVMA 210 (1), 59-64 PubMed.
  • McLaughlin R M Jr., Tilson D M et al (1994) Flexible external fixation for craniodorsal coxofemoral luxations in dogs. Vet Surg 23 (1), 21-30 PubMed.
  • Duff S R, Bennett D (1982) Hip luxation in small animals - an evaluation of some methods of treatment. Vet Rec 111 (7), 140-143 PubMed.
  • Nagle A C (1968) A rationale for closed reduction of reduction of traumatic coxofemoral luxation. Vet Med Small Anim Clin 63 (1), 36-39 PubMed.


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