Traumatic Posterior Hip Dislocation with an Ipsilateral Comminuted Femoral Intertrochanteric Fracture: A Case Report

Peng, Zhen

doi:10.1111/os.12051

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Both of these problems were caused by the concomitant fracture in the femoral shaft [ 5 ]. This necessitated the use of other indirect/direct methods of reduction such as the temporary external fixator or holding the proximal femoral part with bone holding clamp [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Ipsilateral Posterior Hip Dislocation and Shaft Femur Fracture and Management

Vatsyan,

Salaria,

Katoch

et al. 2024

jocr

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Introduction: The incidence of ipsilateral fracture of the shaft of the femur and dislocation of the hip are extremely rare injuries. However, the incidence of complex fractures is increasing day by day due to an increasing variety of traumatic mechanisms. This type of injury constitutes various diagnostic and treatment difficulties for the surgeon. Such injuries should be managed on an urgent basis for better functional outcomes. Case Report: We hereby describe two such cases: First case hip was reduced using external fixator pins, stabilization of the shaft femur fracture was done with an external fixator and the second case hip was reduced with bone holding clamps and the shaft femur fracture was fixed with interlocking nail. Conclusion: Fixator-assisted closed reductions are the first line of treatment in the management of posterior dislocation hip complicated with ipsilateral femoral shaft fractures. If closed reduction fails, fracture site can be opened and direct forces can be applied to the proximal femur to aid hip reduction with minimum complications. Keywords: Ipsilateral, posterior hip dislocation, shaft femur fracture, close reduction.

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Section: Discussionmentioning

confidence: 99%

Two Cases of Ipsilateral Posterior Hip Dislocation and Shaft Femur Fracture and Management

Vatsyan,

Salaria,

Katoch

et al. 2024

jocr

View full text Add to dashboard Cite

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A case of posterior HIP dislocation with intertrochanteric fracture: Beware of the sharp calcar spike

Desai

Dhamangaonkar

2019

Journal of Clinical Orthopaedics and Trauma

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Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern

Desai

2021

Journal of Clinical Orthopaedics and Trauma

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Proximal femoral extracapsular fractures with associated ipsilateral hip dislocation is an extremely rare pattern of injury. These fractures may be associated with a spectrum of severity from isolated trochanteric fractures to comminuted intertrochanteric and subtrochanteric fractures with hip dislocation. To date, this pattern of injury is not described in any injury classification system and no clear cut guidelines for the same are available. The aim of this review is to provide an evidence based pooled analysis of the existing literature and develop guidelines that help surgeons tackle this rare injury pattern. Methods: A comprehensive review of the literature was undertaken using the PRISMA. Case reports and series of Extracapsular proximal femoral fracture dislocations published in PubMed, EMBASE, Springer, OvidSP, ScienceDirect, Web of Science and Google scholar between inception of journals to May 2020 were included in the review. A pooled analysis comparing the demography, pattern of the fracture, mode and mechanism of injury with the clinical and radiological outcome and complications was performed. Results: 52 cases from 46 case studies were included in the pooled analysis. There was a near significant association between avascular necrosis and mean time to reduction (p ¼ 0.0865). Individuals with compound injury had 10.12 times higher risk of avascular necrosis (p ¼ 0.009). No significant association between the pattern of proximal femur fracture and incidence of avascular necrosis (p ¼ 0.116, chisquare). There was no significant association between polytrauma and poor clinical outcomes. (p ¼ 0.231). Conclusions: Principles of damage control orthopaedics should be followed in unstable patients with this rare fracture dislocation. Percutaneous Schanz screw reduction manoeuvre can be attempted gently with a low threshold to perform an open reduction. Every attempt at salvaging the fractured hip must be performed in young individuals with an arthroplasty standby for comminuted and unreconstructable cases.

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Traumatic Posterior Hip Dislocation with an Ipsilateral Comminuted Femoral Intertrochanteric Fracture: A Case Report

Cited by 4 publications

References 12 publications

Two Cases of Ipsilateral Posterior Hip Dislocation and Shaft Femur Fracture and Management

Two Cases of Ipsilateral Posterior Hip Dislocation and Shaft Femur Fracture and Management

A case of posterior HIP dislocation with intertrochanteric fracture: Beware of the sharp calcar spike

Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern

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