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Hip Dislocation

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What is Hip Dislocation?

A dislocation of the hip occurs when the head of the femur (the ball of the hip joint) is separated from the acetabulum (the socket of the hip joint), generally after significant trauma.

This injury most commonly occurs during an auto collision or a high-impact fall at the workplace or during a sport, accident especially during activity or motor vehicle accident, falls, especially those that also result in a broken leg or pelvis.

Hip Dislocation
Hip Dislocation

When the hip dislocates, the ligaments, labrum, muscles, and other soft tissues holding the bones in place are often damaged, as well. The nerves around the hip may also be injured.

In most hip dislocations, the femoral head of the thigh bone is forced out of the acetabulum toward the rear (posterior dislocation). Less often, the displaced ball is pushed out forward from the pelvis (anterior dislocation).

NSOC offers advanced orthopedic care in a state-of-the-art medical facility in Kenya.

They take a personal approach to your orthopaedic condition and only considers surgical management once conservative avenues have been fully explored.

 Symptoms of Hip Dislocation

Hip dislocation is very painful and can cause tears or strains in adjacent blood vessels, nerves, muscles, ligaments and other soft tissues.

The most serious complications associated with hip dislocations are osteonecrosis (bone death), and sciatic nerve damage. The sciatic nerve extends from the lower back to the upper thigh and then divides into the tibial and common peroneal nerves, which enable movement of the ankles and toes. Significant damage to these nerves can limit a person’s mobility,  sometimes permanently.

More symptoms include:

  • Leg on affected side appears shorter than other leg

  • Hip joint appears deformed

  • Inability to walk or move the leg

  • Loss of feeling in the foot or ankle

     

Hip Dislocation

Diagnosis of Hip Dislocation

A hip dislocation is a medical emergency. To diagnose a dislocated hip, your orthopedic surgeon at Nairobi spine and Orthopaedic center in Kenya will conduct a physical exam which involves simply looking at the position of the leg.

Your doctor may order imaging tests, such as x-rays, to show the exact position of the dislocated bones, as well as any additional fractures in the hip or thighbone.

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Reliable Hip Dislocation Treatment in Kenya

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As well as utilizing minimally invasive and arthroscopic surgical techniques, our patients  benefit from the latest international orthopedic advances and equipment to ease you from pain.

At NSOC in Nairobi, Kenya, the first step to treat your dislocated hip  is usually to try and reposition the hip joint by applying force to the leg without surgery. This is called a closed reduction of the hip replacement and is performed under anesthesia.

If the dislocation occurs with additional damage such as a fracture, or involves a hip implant, an open reduction surgery may be needed. In this procedure surgeons must go in and manipulate the femur and hip and/or reposition the implants.

However, if the imaging reveals fractures or significant damage to soft tissues, blood vessels or nerves, surgery is required to remove the loose tissues and correctly position the bones.

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Hip Dislocation after Total Hip Replacement

Hip dislocations in patients who have had a total hip replacement are relatively infrequent among otherwise healthy people who follow the precautions provided by their orthopedic surgeon and physical therapist.

Higher rates of dislocations occur in certain hip replacement patients: the elderly, those with other physical disabilities, those who had a total hip replacement after a hip fracture or after other hip surgeries.

Partial Hip Replacement, Acromioclavicular Joint Sprain, Hip Dislocation
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It also occurs to those who had one or more hip dislocations prior to a total hip replacement for example, if muscles and ligaments around the hip were disrupted from the prior dislocation and weakened as a result.

If a patient experiences multiple dislocations after the surgery, he or she is usually a good candidate for a hip revision surgery.

As earlier stated, a dislocated hip needs emergency medical attention because it can cause permanent injury or even loss of the leg if the femur is not put back into the socket as quickly as possible. Our emergency room doctors at NSOC in Kenya offer medical attention treatment options for patients with hip dislocation in Kenya as quickly as possible.

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