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Post-traumatic bilateral posterior hip dislocations with femoral head fracture on one side and acetabular fracture on the other side: a very rare presentation
  1. Atmananda Hegde,
  2. Prajwal Prabhudev Mane,
  3. Vikrant Khanna and
  4. Seetharama Rao
  1. Orthopaedics, Kasturba Medical College, Mangalore Campus, Manipal Academy of Higher Education, Manipal, Karnataka, India
  1. Correspondence to Dr Prajwal Prabhudev Mane; pjlmane{at}gmail.com

Abstract

Hip dislocations are common orthopaedic emergencies which need early intervention to have a better outcome. They usually occur as a result of high energy trauma with motor vehicle accidents being the most common cause followed by fall from height. Posterior hip dislocation is more common than anterior. However, bilateral hip dislocations are rare compared with unilateral. Here we report our case with bilateral posterior hip dislocation with one side having head of femur fracture and contralateral side acetabulum fracture. Both hips were reduced under general anaesthesia on the same day of the trauma. Staged definitive treatment was carried out. The patient had an early recovery with no complications. This case represents an unusual, type of injury resulting from a high speed motor vehicle accident. Early diagnosis, immediate resuscitation and reduction of the hip joints followed by a careful and planned definitive treatment is necessary to have a better outcome.

  • orthopaedics
  • trauma

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Footnotes

  • Twitter @drvikrantkhanna

  • Contributors Manuscript write up: AH and PPM. Details: SR. Literature review: VK and PPM. Photographs: AH and SR. Concept: AH and PPM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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