Reduction recommended within 6 hours to prevent avascular necrosis of the femoral head
Femoral neck fracture is a contraindication to closed reduction
Procedural sedation
Supine patient on table: deeper sedation (propofol helps with tissue relaxation); firm distal traction at flexed knee to pull head back into acetabulum; assistant stabilizes pelvis by pushing on ASISs
See figure here
See video here
Provider's knee behind supine patients flexed knee with anterior force lifting (via provider plantar flexing foot) and rotation as needed
Successful in patients with prosthetic<unk> s as well
Poses less risk of knee injury since most force is applied by lifting leg rather than applying leverage at knee
Less risk to provider who does not have to stand on top of gurney, and requires only one provider
A modified Allis Maneuver that allows the provider to follow back safety recommendations provided by OSHA
Provider hovers over patient on the bed and places their forearm under the patient's knee
The provider squats down, draping their forearm over their knees with the elbow on one knee and wrist/hand over the other knee
Provider then leans back, pivoting on feet and holding the patient's leg close to their chest, while an assistant stabilizes the pelvis
Reduction: traction, internal rotation, and then external rotation once the femoral<unk>  clears the acetabular rim
Hip dislocation
Acute Trauma
Elbow dislocation
Femur fracture
Lens dislocation
Proximal
Ankle dislocation
Intracapsular