Hip dislocation is a critical condition, which can occur at any age. This problem develops due to damage in the ball and socket joint. It becomes a painful and serious issue for adults, older adults and children. This creates trouble in walking and standing in them. It mostly happens during sports activity, driving a vehicle and slipping down on the floor.
Its best effective approach is closed reduction. It is a procedure, which does not require surgery and can be performed through a manual manipulation. A doctor may also perform open reduction or hip replacement surgery in the healthcare center. These treatment options are recommended for the management of hip dislocation.
Types of Hip Dislocation
This problem is of two types. These include the following:
- Posterior dislocation: A person experiences this problem when their thigh is internally rotated. It can cause sciatic nerve injury in him or her.
- Anterior dislocation: It develops due to backward force of a ball in the hip. This problem is less common than posterior dislocation.
Causes
The exact cause of this problem are as follows:
- Vehicular accidents: When a person meets with a car or a bike accident on the road, then he or she may experience a hip injury. This can cause hip damage and might dislocate the hip in such individuals.
- Sports injury: The hips may get damaged when a person falls down on the ground. It might happen during football, martial arts etc.
- Falls or slips: A person may fall down on the floor, when he or she starts jumping in excitement or fighting with others. This can cause dislocation in hips in children also.
Symptoms
The symptoms that can occur from hip dislocation are as follows:
- Difficulty in moving leg
- Numbness or tingling in leg and foot
- Swelling and bruising around the hip joint
- Severe pain in hip or groin area
- Trouble in carrying weight
- Muscle spasms
- Difficulty in standing and walking
- Visible deformity or shorter appearance of legs
- Damage in bone or cartilage in the hip joint
- Blood vessels or nerve injury
- Hip dysplasia
- Osteonecrosis
Procedure
Before Procedure
The things that can be expected before the surgical procedure are as follows:
- A patient is suggested to sign a consent form before the surgical procedure.
- A healthcare provider reviews the medical history and performs a physical exam to detect the signs and symptoms associated with hip dislocation.
- A neurological and vascular assessment is conducted for the identification of an injury in blood vessels or nerves. It is essential for patients, who feel pain through posterior hip dislocations.
- An arthrogram test is performed through a special dye or contrast material in the healthcare department. This substance is injected into a hip joint which helps a doctor to view the joint’s condition easily.
- X-ray, a first imaging test, will be performed to identify associated fractures in the hips. It is mainly important to determine which type of treatment is best for the problem.
- A healthcare professional also performs a CT or MRI scan to determine the requirement of joint reduction for hip dislocation.
If you want to prepare for the surgery, then you must follow some rules and regulations. These are as follows:
- Avoid drinking alcohol and smoking tobacco products.
- Do not bring PAN cards and other essential items in the healthcare department.
- Stop taking blood-thinning medication drugs like aspirin, ibuprofen etc.
- Do not eat or drink for one day before the surgical procedure.
- Remove jewelry or clothes and wear a hospital gown during hip replacement surgery
During Procedure
The following operations will take place in the medical center. These are as follows:
- A healthcare professional provides a general or a local anesthesia to a patient in the healthcare department.
- The closed reduction procedure is performed to correct a dislocated hip. During this process, a sedative or an anesthetic medicine is recommended to an individual for pain and muscle spasms.
- A surgeon performs an open reduction surgery for secondary injuries in the hip. This procedure will be performed through a metal screw or a plate.
- The hip replacement surgery is operated by replacing a damaged hip with a healthy one. It can be performed through one or more incisions.
After Procedure
A patient should follow certain instructions after the surgery. These include the following:
- Wear protective gear while playing football or any other outdoor games.
- Follow a proper nutrition diet.
- Drink plenty of water or stay hydrated.
- Wear seat belts while driving a car.
- Do regular exercises.
- Practice good hygiene.
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