Abstract

ABSTRACTHandling traumatic hip dislocation is a routine procedure in emergency clinics. Many cases are successfully managed with closed reduction and supportive bandage. However, when surgery is needed the techniques commonly in use are hampered with the lack of visualisation and may result in excessive joint trauma. This paper describes a new surgical method for stabilising the hip joint. The technique is called prearticular stabilisation. The principle is to avoid reluxation by limiting the range of rotatory movement of the femoral head by the use of heavy double mattress sutures tied between the tendons of insertion of the psoas minor and the gluteus medius muscles. The results of the first 11 cases are reported and long term as well as short term results are encouraging.

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