Travmatik �ift tarafl� anterior kal�a ��k�klar�nda sedasyon ile kapal� redüksiyon:  Bir olgu sunumu ve literatürün g�zden ge�irilmesi

Chiu, Chee Kidd; Ng, Tiong Soon; Wazir, Nayyer Naveed; Bhurhanudeen, Kareem Abdul

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Travmatik �ift tarafl� anterior kal�a ��k�klar�nda sedasyon ile kapal� redüksiyon: Bir olgu sunumu ve literatürün g�zden ge�irilmesi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2015; 21(1): 63-67 | DOI: 10.5505/tjtes.2015.27475

Travmatik �ift tarafl� anterior kal�a ��k�klar�nda sedasyon ile kapal� redüksiyon: Bir olgu sunumu ve literatürün g�zden ge�irilmesi

Chee Kidd Chiu¹, Tiong Soon Ng², Nayyer Naveed Wazir³, Kareem Abdul Bhurhanudeen³
¹Malaya �niversitesi T�p Fakültesi, Ortopedik Cerrahi Anabilim Dal�, Kuala Lumpur, Malezya;
²Tuanku Jaafar Hastanesi, Ortopedik Cerrahi Klini�i, Malezya;
³Uluslararas� Uluslararas� T�p �niversitesi, Ortopedik Cerrahi Anabilim Dal�, Malezya

Sedasyon alt�nda red�kte edilmi� nadir bir �ift tarafl� anteriyor kal�a ��k�� olgusunu sunuyoruz. K�rk yedi ya��ndaki erkek bir ara� taraf�ndan �arp�l�p yere d��r�ld�. Petidinle kombine titre edilmi� intraven�z midazolam dozuyla birlikte petidin kullanarak sedasyon alt�nda �ift tarafl� anteriyor kal�a k�r��n� ba�ar�yla red�kte ettik. Manipülasyon yapan�n uylu�unu bir dayanak noktas� olarak kullan�p modifiye Lefkowitz manevras� uygulad�k. Hasta
travmadan iki ay sonra yük bindirmeye ba�lad�. Yirmi d�rt ay sonra ise kal�a a�r�s� olmaks�z�n y�r�yordu. Literat�r g�zden ge�irildi�inde 12 adet �ift tarafl� anteriyor k�r�� olgu sunumu saptad�k. Yaln�zca bir yazar red�ksiyon i�lemi i�in intraven�z sedasyon (propofol) kulland��n� bildirmi�ti. Hi�bir yazar bu ama�la Lefkowitz manevras� kulland��n� bildirmemi�ti. Sonu�ta, modifiye Lefkowitz manevras�n� kullanarak sedasyon alt�nda �ift tarafl� anterior kal�a ��k��n�n red�ksiyonu m�mk�nd�r.

Anahtar Kelimeler: �ift tarafl� anteriyor kal�a ��k��, modifiye Lefkowitz manevras�, sedasyon.

Closed reduction of traumatic bilateral anterior hip dislocations with sedation: a case report and review of the literature

Chee Kidd Chiu¹, Tiong Soon Ng², Nayyer Naveed Wazir³, Kareem Abdul Bhurhanudeen³
¹Department Of Orthopaedic Surgery, Faculty Of Medicine, University Of Malaya, Kuala Lumpur, Malaysia.
²Department Of Orthopaedic Surgery, Hospital Tuanku Jaafar, Seremban, Malaysia.
³Department Of Orthopaedic Surgery, International Medical University, Seremban, Malaysia.

A rare case of bilateral anterior hip dislocation reduced under sedation was reported in this study. A 47-year-old man was knocked down by a car and sustained bilateral anterior hip dislocation which was reduced successfully with sedation using titrated dose of intravenous Midazolam in combination with Pethidine. A modified Lefkowitz maneuver using the manipulator�s thigh as a fulcrum was used. Patient started weight bearing in the second month after injury and was walking without any hip pain at the twenty-fourth month
follow-up. Thirteen case reports describing bilateral anterior hip dislocations were found while reviewing the literature and it was noticed that only one author had reported the usage of intravenous sedation (Propofol) for the reduction procedure. However, no author
reported the use of Lefkowitz maneuver for this purpose. Consequently, reduction of a bilateral anterior hip dislocation is possible with sedation using a modified Lefkowitz maneuver.

Keywords: Bilateral anterior hip dislocation, modified Lefkowitz maneuver, sedation.

Sorumlu Yazar: Chee Kidd Chiu, Malaysia
Makale Dili: �ngilizce

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