West Christopher, Ranganath Yatish, Willey Michael
University of Iowa Department of Orthopaedics and Rehabilitations,Iowa City, IA.
University of Iowa Department of Anesthesia,Iowa City, IA.
Iowa Orthop J. 2017;37:19-21.
Native hip dislocations require urgent reduction in a setting where adequate sedation and analgesia is essential. We have recently implemented the use of fascia iliaca blocks at our institution for preoperative pain management for patients with proximal femur fractures. In the setting of limited resources, alternate modalities for sedation and analgesia may need to be implemented to obtain a timely reduction for hip dislocations. We present a case report where of the use of a fascia iliaca block along with light sedation to obtain a successful, atraumatic reduction of an anterior dislocation of a native hip joint. While many hip dislocations may require a deeper level of sedation and muscle relaxation for successful reduction, the current report suggests that fascia iliaca blocks provide adequate analgesia for the procedure and may be helpful in the setting of limited resources.
先天性髋关节脱位需要在具备充分镇静和镇痛的条件下进行紧急复位。我们机构最近开始使用髂筋膜阻滞来对股骨近端骨折患者进行术前疼痛管理。在资源有限的情况下，可能需要采用其他镇静和镇痛方式，以便及时对髋关节脱位进行复位。我们报告一例使用髂筋膜阻滞联合轻度镇静成功、无创复位先天性髋关节前脱位的病例。虽然许多髋关节脱位可能需要更深程度的镇静和肌肉松弛才能成功复位，但本报告表明，髂筋膜阻滞可为该操作提供充分的镇痛，并且在资源有限的情况下可能会有所帮助。
