Abstract
Posterior dislocations of the hip are known to be associated with fractures of the femoral head, neck, shaft, or posterior acetabular wall. However, its association with ipsilateral intertrochanteric fracture has only been anecdotally described in the English literature. We report two such cases managed by open reduction (OR) of the hip and internal fixation (IF) of the intertrochanteric fracture. The first case was a 26-year-old male who was managed by OR of the hip with IF of the intertrochanteric fracture with a dynamic hip screw and had a good functional result at 1-year followup. The second case was a 36-year-old female who was also managed by OR of the hip with IF of the head fragments with Herbert screw and IF of the intertrochanteric fracture with a dynamic condylar screw. The patient had a fair, functional result at 1-year followup. With the increase in high energy trauma, these fracture patterns have become more common, and there is an urgent need to review the existing classifications so that these fractures are better categorized, and treatment guidelines defined.
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References
Dehne E, Immermann EW. Dislocation of the hip combined with fracture of the shaft of the femur on the same side. J Bone Joint Surg Am 1951;33-A: 731–45.
Pipkin G. Treatment of grade IV fracture-dislocation of the hip. J Bone Joint Surg Am 1957;39-A: 1027–42.
Klasen HJ, Binnendijk B. Fracture of the neck of the femur associated with posterior dislocation of the hip. J Bone Joint Surg Br 1984;66:45–8.
Hougaard K, Thomsen PB. Traumatic posterior fracture-dislocation of the hip with fracture of the femoral head or neck, or both. J Bone Joint Surg Am 1988;70:233–9.
Thompson VP, Epstein HC. 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:746–78.
Barquet A, Mussio A. Fracture-dislocation of the femoral head with associated ipsilateral trochanteric and shaft fracture of the femur. Arch Orthop Trauma Surg 1983;102:61–3.
Agarwal R, Rai A, Saraf S, Singh S, Singh A. An unusual pattern of posterior dislocation of hip associated with comminuted trochanteric fracture. Internet J Orthop Surg 2008;9.
Alexa O, Puha B, Veliceasa B, Paduraru D. Posterior dislocation of the hip associated with ipsilateral trochanteric fracture -A very rare case. Chirurgia (Bucur) 2009;104:761–4.
Yousefi A, Ashraf H, Mashhadinezhad A, Birjandinejad A. Posterior hip dislocation associated with posterior wall acetabular fracture and ipsilateral intertrochantric fracture: A very rare case report. Trauma Mon 2013;17:409–11.
Singh R, Sharma SC, Goei T. Traumatic inferior hip dislocation in an adult with ipsilateral trochanteric fracture. J Orthop Trauma 2006;20:220–2.
Radulescu R, Badila A, Japie I, Papuc A, Manolescu R. Anterior dislocation of the hip associated with intertrochanteric fracture of the femur - Case presentation. J Med Life 2013;6:336–9.
Fernandes A. Traumatic posterior dislocation of hip joint with a fracture of the head and neck of the femur on the same side: A case report. Injury 1981;12:487–90.
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Haq, R.U., Kumar, J., Dhammi, I.K. et al. Posterior dislocation of hip with ipsilateral intertrochanteric fracture: A report of two cases. IJOO 50, 571–576 (2016). https://doi.org/10.4103/0019-5413.189614
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DOI: https://doi.org/10.4103/0019-5413.189614