NDLI: Rocket launcher: A novel reduction technique for posterior hip dislocations and review of current literature.

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Rocket launcher: A novel reduction technique for posterior hip dislocations and review of current literature.

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Rocket launcher: A novel reduction technique for posterior hip dislocations and review of current literature.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dan, Michael Phillips, Alfred Simonian, Marcus Flannagan, Scott
Description	Country affiliation: Australia Author Affiliation: Dan M ( Emergency Department, Maitland Hospital, Maitland, New South Wales, Australia.); Phillips A ( Orthopaedics Department, Gold Coast Hospital, Gold Coast, Queensland, Australia.); Simonian M ( Emergency Department, Maitland Hospital, Maitland, New South Wales, Australia.); Flannagan S ( Emergency Department, Maitland Hospital, Maitland, New South Wales, Australia.)
Abstract	OBJECTIVE: We provide a review of literature on reduction techniques for posterior hip dislocations and present our experience with a novel technique for the reduction of acute posterior hip dislocations in the ED, 'the rocket launcher' technique. METHODS: We present our results with six patients with prosthetic posterior hip dislocation treated in our rural ED. We recorded patient demographics. The technique involves placing the patient's knee over the shoulder, and holding the lower leg like a 'Rocket Launcher' allow the physician's shoulder to work as a fulcrum, in an ergonomically friendly manner for the reducer. We used Fisher's t-test for cohort analysis between reduction techniques. RESULTS: Of our patients, the mean age was 74 years (range 66 to 85 years). We had a 83% success rate. The one patient who the 'rocket launcher' failed in, was a hemi-arthroplasty patient who also failed all other closed techniques and needed open reduction. When compared with Allis (62% success rate), Whistler (60% success rate) and Captain Morgan (92% success rate) techniques, there was no statistically significant difference in the successfulness of the reduction techniques. There were no neurovascular or periprosthetic complications. CONCLUSION: We have described a reduction technique for posterior hip dislocations. Placing the patient's knee over the shoulder, and holding the lower leg like a 'Rocket Launcher' allow the physician's shoulder to work as a fulcrum, thus mechanically and ergonomically superior to standard techniques.
File Format	HTM / HTML
ISSN	17426731
Issue Number	3
Volume Number	27
e-ISSN	17426723
Journal	Emergency Medicine Australasia
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2015-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Medicine Hip Dislocation Therapy Manipulation, Orthopedic Methods Aged Aged, 80 And Over Female Humans Male Patient Positioning Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

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