Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case

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What to Learn from this Article?

1.Management of complex fracture dislocation around the Hip joint.

2.Surgical approach and tips on planning such complex injuries.


Case Report |  Volume 3 | Issue 4 | JOCR Oct-Dec 2013 | Page 31-34 | Sinha S, Naik AK, Arya RK, Jain VK

DOI: 10.13107/jocr.2250-0685.128


Authors: Sinha S[1], Naik AK[1], Arya RK[1], Jain VK[1]

[1]Department of Orthopedic Surgery, Dr RML Hospital & PGIMER, New Delhi. India.

Address of Correspondence:

Dr Skand Sinha, Flat 78, Prasad Nagar Phase 1, DDA MIG flats, New Delhi – 110005. India. Email : skandsinha@gmail.com


Abstract

Introduction: Posterior dislocation of the hip joint with associated acetabular  and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome.

Case Report: 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture on the ipsilateral side. The complex fracture geometry was confirmed by CT scan. The patient was successfully managed by open reduction and internal fixation of intertrochanteric fracture was achieved with dynamic hip screw (DHS) plate fixation followed by fixation of acetabular fracture with reconstruction plate.

Conclusion: Hip dislocation combined with acetabular fracture is an uncommon injury; this article presents a unique case of posterior wall and transverse fractures of ipsilateral acetabulum with intertrochanteric fracture in a patient who sustained traumatic posterior hip dislocation. Early surgical intervention is important for satisfactory outcomes of such complex fracture-dislocation injuries.

Keywords: Hip dislocation; acetabular fractures; intertrochanteric fracture; operative treatment.


How to Cite This Article: Sinha S, Naik AK, Arya RK, Jain VK. Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case. Journal of Orthopaedic Case Reports 2013 Oct-Dec ;3(4): 31-34. Available from: http://test.jocr.co.in/2013/04/13/2250-0685-098-fulltext/

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