and I i will say that i can almost
guarantee if you've got a capsular loss
of say internal rotation in the hip we
can change that without pain and within
minutes we're going to restore internal
rotation in its right hip i'm going to
locate can I just put this bill can I
put your foot in the belt for a moment
thank you I'm going to use a belt and
this makes the procedure so easy now
what do I do the belt is going to pull
the femoral head laterally we're going
to give a distraction of the femoral
head and while we sustain that
distraction we're going to go through
the procedure of internal rotation I
need to fix the ileum because I'm
pulling a FEMA laterally the whole body
sleight so we need fixation and to get
this you place your arm within the belt
and the belt and I put my cupped hand or
flexed hand so that my the heel of my
hand is on the ilium that's on the ilium
bring the knee up a bit and if i'm
correct and my elbows in my groin now
you can see it from that view they're
all i gotta do is move my hips a little
note that the belt to parallel with the
floor we lift the foot off i wrap my arm
around the thigh so that i can apply a
rotation but before i do that I've
already asked the patient to let me know
if there's any discomfort there's the
distraction there's the rotation