Time: 20 mins
Personnel Required: 3
Equipment Required:
1. adequate analgesia
2. If adding procedural sedation, end tidal CO2 + monitor
3. 2 bedsheets
Steps:
1. Assistant 1 + 2: Place bedsheets over the patients hips and cross it under the bed like a belt. (not shown in video)
2. Assistant 1 + 2: Apply downward countertraction on the patient's hip.
3. Operator: Stand on the patient’s affected side next to knee.
4. Operator: Place arm under the affected side’s knee and grasp the opposite knee.
5. Operator: With the other hand, grasp the near ankle and apply downward force to flex the knee.
6. Operator: Keep traction maintained with arm under knee.
7. Operator: Apply internal + external rotation with the hand on the ankle.
8. Post reduction, perform a neurovascular exam and place a knee immobilizer.
Time: 20 mins
Personnel Required: 3
Equipment Required:
1. adequate analgesia
2. If adding procedural sedation, end tidal CO2 + monitor
3. 2 bedsheets
Steps:
1. Assistant 1 + 2: Place bedsheets over the patients hips and cross it under the bed like a belt. (not shown in video)
2. Assistant 1 + 2: Apply downward countertraction on the patient's hip.
3. Operator: Stand on affected side, flex hip and knee to 90 degrees.
4. Operator: Place foot on bed and your knee under the patient’s knee.
5. Operator: Grasp ankle and apply downward traction while planter flexing upward against the patient’s knee.
6. Operator: Apply internal/external rotation and mild abduction/adduction as needed.
7. Post reduction, perform a neurovascular exam and place a knee immobilizer.
Time: 20 mins
Personnel Required: 3
Equipment Required:
1. adequate analgesia
2. If adding procedural sedation, end tidal CO2 + monitor
3. 2 bedsheets
Steps:
1. Assistant 1 + 2: Place bedsheets over the patients hips and cross it under the bed like a belt. (not shown in video)
2. Assistant 1 + 2: Apply downward countertraction on the patient's hip.
3. Operator: Stand on the bed on the affected side, grasp the proximal thigh, flex knee 90 degrees
4. Operator: Apply axial traction while flexing the hip
5. Operator: Apply internal/external rotation to the hip as needed
6. Post reduction, perform a neurovascular exam and place a knee immobilizer.