E-ISSN 2277-338X | ISSN 2320-4664
|Case Report|| |
Ipsilateral fracture dislocations of the hip and knee joints with fracture of acetabulum : a rare case and its management principles.
Rakesh Dubey, Jainilkumar Parmar, Devanand More, Rohit Kulkarni.
Simultaneous ipsilateral hip and knee dislocations can be a devastating injury rendering the limb useless if not treated in time. Long term results also vary because these two types of injuries are associated with avascular necrosis of the femoral head, knee instability, and stiffness at both the joints. Early diagnosis and prompt reduction is must to prevent the complications. In this report we present a case with this injury describing its management difficulties. knee dislocation was reduced first as constant pressure on posterior neurovascular structure can cause ischemic necrosis of distal part and permanent neurological damage. Hip dislocation was associated with acetabular wall fracture with a fragment piece inside joint which pose a major difficulty for reduction and later fixation of wall. The prompt reduction of dislocations was carried out to achieve good results.
Ipsilateral , Dislocation , Prompt reduction, Neuro vascular compromise
|1. Motsis EK, Pakos EE, Zaharis K, Korompilias AV, Xenakis TA. Concomitant ipsilateral traumatic dislocation of the hip and knee following high-energy trauma: a case report. J Orthop Surg (Hong Kong). 2006; 14(3): 322-4.|
|2. DuBois B, Montgomery WH Jr, Dunbar RP, Chapman J. Simultaneous ipsilateral posterior knee and hip dislocations: case report, including a technique for closed reduction of the hip. J Orthop Trauma. 2006 Mar; 20(3): 216-19. [DOI via Crossref] |
|3. Schierz A, Holtz T, Kach K. Ipsilateral knee and hip joint dislocation. Unfallchirurg. 2002; 105(7): 660-3. [DOI via Crossref] |
|4. Freedman DM, Freedman EL, Shapiro MS. Ipsilateral hip and knee dislocation. J Orthop Trauma.1994; 8(2): 177-80. [DOI via Crossref] |
|5. Hunter. GA. Posterior dislocation and fracture-dislocation of the hip. A review of fifty-seven patients. J Bone Joint Surg (Br). 1969; 51(1): 38-44.|
|6. Kreibich DN, Moran CG, Pinder IM. Ipsilateral hip and knee dislocation. A case report. Acta Ortho Scand. 1990; 61(1):90-1. [DOI via Crossref] |
|7. Magistroni A. Hip and knee homolateral dislocation. Minerva Orthop. 1968; 19(4): 187-91.|
|8. Millea TP, Romanelli RR, Segal LS, Lynch CJ. Ipsilateral fracture-dislocation of hip, knee, and ankle: case report. J Trauma. 1991; 31(3): 416-9. [DOI via Crossref] |
|9. Kundu ZS, Mittal R, Sangwan SS, Sharma A. Simultaneous asymmetric bilateral hip dislocation with unilateral fracture of femur-peculiar mode of trauma in a case. Eur J Orthop Surg Traumatol. 2003, 13: 255-57 [DOI via Crossref] |