DOI: https://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20222193
Published: 2022-08-25

Traumatic posterior dislocation of hip with ipsilateral fracture of shaft of the femur: external maneuvers reduction and osteosynthesis by screw plate about a case and review of literature at Tambacounda regional hospital in Senegal

Mohamed Sidibe, Mohamed Lamine Bah, Fodé Mahamoud Sylla, Minkailou Camara, Alhassane Soumah, Serge Ntungwanayo

Abstract


Traumatic hip dislocation associated with an ipsilateral femoral fracture is a rare injury. It occurs in a high-energy traumatic context. The classic mechanism consists of a fall with landing on the hip, which initially dislocates and the femur fracture occurs secondarily by adduction of the proximal fragment. The diagnosis is difficult in front of the fracture whose signs mask the vicious attitude of the dislocation. We reported the case of a passenger of a motorcycle who collided with a parked car.  He was ejected from the motorcycle and landed on his right hip. We performed X-rays of hip and lower limb at his admission which revealed a dislocation of hip in its high posterior variety and a medio-diaphyseal fracture of femur on same side. Reduction of dislocation by external maneuvers was made and osteosynthesis of femur with screwed plate performed 48 h later. After 16 months of care, functional and radiological results sufficient.


Keywords


Hip dislocation, Fracture shaft of femur, External reduction maneuvers, Osteosynthesis

Full Text:

PDF

References


Merle D'Aubigné R, Mazas F. Traumatic posterior dislocations of the hip. Ann Chir. 1963;17:1063-90.

Burdin G, Hulet C, Slimani S, Coudane H, Vielpeau C. Traumatic hip dislocations: pure dislocations and femoral head fractures. EMC-Rheumatol Orthop. 2004;1:508-20.

Fardon DF. Femoral shaft fracture with ipsilateral hip dislocation in a child. JACEP. 1978;7(4):159-61.

Harper Mc. Traumatic dislocation of the hip with ipsilateral shaft fracture: a method of treatment. Bri J Accident Surgery. 1982;13(5):391-4.

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.

Ul Haq R, Kumar J, Dhammi IK, Jain AK. Posterior dislocation of hip with ipsilateral intertrochanteric fracture: A report of two cases. Indian J Orthop. 2016;50:571-6.

Shim SS. Circulatory and vascular changes in the hip following traumatic hip dislocation. Clin Orthop. 1979;140:255-61.

Hoogaard K, Thomsen PB. Coxarthrosis following traumatic posterior dislocation of the hip. J Bone Joint Surg (Am). 1987;69:679-83.

Hoogaard 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.

Brau AE. Traumatic dislocation of the hip. J Bone Joint Surg (Am). 1962;44:1115-34.

Rana R, Patra SK, Khuntia S, Jain M, Patro BP. Traumatic posterior dislocation of hip with ipsilateral fracture of shaft of femur: Temporary fixator-assisted reduction and final fixation with interlocking nail. Cureus. 2019;11:548.

Iftekhar N, Rasool T, Zhitny VP, Rasool S. Ipsilateral Posterior Hip Dislocation and Femur Shaft Fracture- A Rare Presentation. J Orthop Case Rep. 2020;10(7):3-5.