title: Closed reduction of traumatic bilateral anterior hip dislocations with sedation: a case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. cheekidd@yahoo.com.
authors.forename: Chee Kidd
authors.initials: CK
authors.lastname: Chiu
authors.affiliation: Department of Orthopaedic Surgery, Hospital Tuanku Jaafar, Seremban, Malaysia.
authors.forename: Tiong Soon
authors.initials: TS
authors.lastname: Ng
authors.affiliation: Department of Orthopaedic Surgery, International Medical University, Seremban, Malaysia.
authors.forename: Nayyer Naveed
authors.initials: NN
authors.lastname: Wazir
authors.affiliation: Department of Orthopaedic Surgery, International Medical University, Seremban, Malaysia.
authors.forename: Kareem Abdul
authors.initials: KA
authors.lastname: Bhurhanudeen
mesh_terms: D000063:Accidents, Traffic; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D003937:Diagnosis, Differential; D006617:Hip Dislocation / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008614:Meperidine / Q000008:administration & dosage*; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D011859:Radiography
chemical_list: D000701:Analgesics, Opioid; D008614:Meperidine