Take reduction measures as soon as possible, usually under spinal anesthesia or epidural anesthesia. Common methods are:
( 1)
Allis method: this method is suitable for anterior and posterior dislocation, safe and easy to reset.
(2)
Bigelow method: namely "?" No. Reduction is suitable for posterior dislocation.
(3)
Treatment after reduction: abduction and traction of the affected limb are needed for 3 ~ 4 weeks after hip joint reduction.
2.
Central dislocation: no manual reduction, 30 degrees abduction of the injured joint, and traction of the femoral condyle in neutral position. At the same time, the pelvis is fixed and the femoral head is pulled out of the pelvic cavity, which is convenient for the reduction and healing of acetabular floor fractures.
3.
Indications for operation: glenoid margin fracture and bone fragments in joint space affect reduction or activity, so the bone fragments should be cut and taken out, and the fracture should be reduced and fixed internally; After operation, traction was maintained 10 week.
Therapeutic effect standard
1.
Cure: Joint function and activity are normal. X-ray film shows anatomical reduction of the joint, and there is no foreign body in the joint cavity.
2.
Improvement: the function is limited to varying degrees, and other conditions are the same as above.