The Captain Morgan technique for reducing hip dislocations
Your patient is in a lot of pain, their leg is shortened and internally rotated, and the X-rays show a dislocated hip. If they're young they've probably been in a car accident and their knee has hit the dashboard. If they are older with a non-native hip, they might have just tried to get up from a low seat or crossed their legs.
However it happened, you need to reduce it. If your patient has a native femoral head, it is at risk of avascular necrosis (AVN), and the risk increases with every passing hour (in one study, 53% of patients developed AVN if the hip remained out of joint for more than 6 hours).
The traditional method (the Allis technique) requires you to jump up on the trolley and use your brute strength to haul the hip back into place. It's difficult, bad for your back, risks YOU breaking YOUR hip, and looks like torture - make sure the patient's relatives are safely in another room before you start.
Is there a better method? You bet there is! Let me introduce you to the Captain...
** Note: at 08:48 I say to place one hand under the patient's distal CALF. It should of course be under their distal THIGH. Sorry! **
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