Controversies and Cutting Edge | Managing Dislocations of the Hip, Knee, and Ankle
×
EMPOWERING PHYSICIANS WITH EVIDENCE-BASED CONTENT
 

Home > Browse Topics

<< Managing Dislocations of the Hip, Knee, and Ankle in the Emergency Department (Trauma CME)

Controversies and Cutting Edge

There is literature that challenges the accepted time to reduction of the dislocated hip and how much time truly increases the risk of avascular necrosis. Brav reviewed 262 patients and found that in patients reduced in < 12 hours, 22% developed avascular necrosis versus 52% in those reduced after 12 hours.81 Hougaard and Thompsen reviewed 100 cases after 5-year follow-up and found that 4% of patients reduced in < 6 hours developed avascular necrosis, versus 58% reduced > 6 hours.82 Dreinhofer et al evaluated 50 patients and reported that there was no difference in reduction < 1 hour as opposed to < 6 hours, all of which had a 12% risk of avascular necrosis.5 

To continue reading, please log in or purchase access.

To view this issue, please choose one of the options below:

Purchase a
subscription
$349
Emergency Medicine Practice
 
Purchase issue and
CME test (4 credits)
$39
Emergency Medicine Practice
single issue
Sign up for a free trial
Free 48-hour trial
Emergency Medicine Practice
 

Related Links:

2018 LLSA Prep Study Guides, 35 CME Credits

 
About EB Medicine:
Products:
Accredited By:
ACCME ACCME
AMA AMA
ACEP ACEP
AAFP AAFP
AOA AOA
AAP AAP
Endorsed By:
AEMAA AEMAA
HONcode HONcode
STM STM

 

Last Modified: 01/16/2019
© EB Medicine