Initial management is often based on Advanced Trauma Life Support. If the joint remains dislocated reduction and splinting is indicated. Reduction can often be done with simple traction after the person has received procedural sedation. If the joint cannot be reduced in the emergency department, then emergency surgery is recommended. In those with signs of arterial injury, immediate surgery is generally carried out. If the joint does not stay reduced external fixation may be needed. If the nerves and artery are intact the ligaments may be repaired after a few days. Multiple surgeries may be required. In just over 10% of cases an amputation of part of the leg is required.
Knee dislocation
Hip dislocation
Medial knee injuries
Elbow fracture
Acetabular fracture
Hip fracture
Femoral fracture
Patella fracture