概述
图源：站酷海洛
髋关节脱位分类
急诊闭合复位（12 小时内）
适应症：急性前后脱位；
相对禁忌证：同侧移位，无移位股骨颈骨折。
1、后脱位：
① Allis 法：
病人仰卧，助手双手按压两侧髂前上棘固定骨盆，术者手握患肢踝部，另一前臂置于小腿上端近腘窝处，使髋、膝关节屈曲 90°，向上用力持续牵引。
a: 对腿最大程度外展； b：患腿内旋转，施加牵引； c：保持腿内旋转，对腿内牵引； d：患腿外旋转，大腿向上向外拉。
并发症
tips：
3、闭合复位后，对于单纯性后脱位，应皮牵引固定于轻度外展位，前脱位需固定于轻度内内旋位，牵引时间 3 ~ 4 周，其后扶双拐下地活动，患肢部分负重。
作者：杨医生
题图：站酷海洛
参考文献（比较多）：
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