Complex Fracture Pattern Involving Ipsilateral Intertrochanteric Fracture Associated with Ipsilateral Posterior Hip Dislocation and Posterior Acetabular Wall Fracture: A Rare Combination of Injuries

Overview

Journal J Orthop Case Rep

Specialty Orthopedics

Date 2022 Apr 13

PMID 35415174

Authors

Hind Alraeh

Hatem Sultan

Hassan Maghfori

Abdullah Almanea

Affiliations

Soon will be listed here.

Abstract

Introduction: High-energy trauma has increased the incidence of traumatic hip dislocation. In most cases, dislocation of the hip is associated with fractures of the acetabulum. However, its association with ipsilateral intertrochanteric fracture is very rare.

Case Report: We present a case of a 54-year-old male who had uncommon fracture pattern involving ipsilateral intertrochanteric femur fracture associated with ipsilateral posterior fracture dislocation of hip following a road traffic accident. He underwent closed reduction of the dislocation followed by an open reduction and internal fixation of the fractures. Through Kocher-Langenbeck approach, the intertrochanteric fracture was reduced and fixed with dynamic hip screw and derotation anti-rotation screw. Acetabulum fractures then fixed after reduction with two reconstruction plates.

Conclusion: Early recognition and orthopedic intervention constitute the cornerstones of satisfactory outcomes in cases with such complex injuries.

References

Brueton R . A review of 40 acetabular fractures: the importance of early surgery. Injury. 1993; 24(3):171-4. DOI: 10.1016/0020-1383(93)90285-e. View

Armstrong J . Traumatic dislocation of the hip joint; review of 101 dislocations. J Bone Joint Surg Br. 1948; 30B(3):430-45. View

Hougaard K, Thomsen P . Traumatic posterior dislocation of the hip--prognostic factors influencing the incidence of avascular necrosis of the femoral head. Arch Orthop Trauma Surg (1978). 1986; 106(1):32-5. DOI: 10.1007/BF00435649. View

Tornetta 3rd , Mostafavi . Hip Dislocation: Current Treatment Regimens. J Am Acad Orthop Surg. 1997; 5(1):27-36. DOI: 10.5435/00124635-199701000-00004. View

Jacob J, Rao J, Ciccarelli C . Traumatic dislocation and fracture dislocation of the hip. A long-term follow-up study. Clin Orthop Relat Res. 1987; (214):249-63. View

Singh R, Singh H, Gupta S, Kumar Y . Pattern, severity and circumtances of injuries sustained in road traffic accidents: a tertiary care hospital-based study. Indian J Community Med. 2014; 39(1):30-4. PMC: 3968579. DOI: 10.4103/0970-0218.126353. View

Stewart M, MILFORD L . Fracture-dislocation of the hip; an end-result study. J Bone Joint Surg Am. 1954; 36(A:2):315-42. View

Jamshidi M, Mirkazemi M, Birjandinejad A . Posterior hip fracture -dislocation associated with ipsilateral intertrochantric fracture; a rare case report. Arch Bone Jt Surg. 2014; 2(1):75-8. PMC: 4151431. View

Alexa O, Puha B, Veliceasa B, Paduraru D . Posterior dislocation of the hip associated with ipsilateral trochanteric fracture--a very rare case. Chirurgia (Bucur). 2010; 104(6):761-4. View

10.

PIPKIN G . Treatment of grade IV fracture-dislocation of the hip. J Bone Joint Surg Am. 1957; 39-A(5):1027-42 passim. View

11.

Thompson V, EPSTEIN H . Traumatic dislocation of the hip; a survey of two hundred and four cases covering a period of twenty-one years. J Bone Joint Surg Am. 1951; 33-A(3):746-78. View

12.

Sinha S, Naik A, Arya R, Jain V . Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case. J Orthop Case Rep. 2016; 3(4):31-4. PMC: 4719285. DOI: 10.13107/jocr.2250-0685.128. View

13.

Brumback R, Kenzora J, Levitt L, Burgess A, Poka A . Fractures of the femoral head. Hip. 1987; :181-206. View