Affiliations: [a] Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China | [b] Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China
Correspondence:
[*]
Corresponding authors: Da-Hui Sun, Division of Orthopedic
Traumatology, The First Hospital of Jilin University, No.71 Xinmin Street,
Changchun 130021, Jilin, China.
Tel.: +86 13843144350; E-mail: qibaochang1@163.com. Wei-Na Ju,
Department of Neurology, The First Hospital of Jilin University, No.71
Xinmin Street, Changchun 130021, Jilin, China. Tel.: +86 13756303856; E-mail:
erna198644@126.com
Abstract: Posterior hip dislocation with concomitant femoral fracture is very rare.
Here, we report a rare case of a 43-year-old man who was injured in a car
accident. The patient sustained right posterior hip dislocation with
concomitant right acetabular transverse and posterior wall fracture,
ipsilateral femoral shaft fracture, and contralateral proximal femoral
fracture (AO type 31-A3). Closed reduction of the hip was attempted, but
failed. The acetabular fracture and posterior hip dislocation were reduced
and acetabular fracture was fixed using plates through the Kocher-Langenbeck
approach. The ipsilateral femoral fracture was treated with closed reduction
and intramedullary nailing. The contralateral femoral fracture was treated
with closed reduction and Gamma 3 nailing. Postoperative X-rays revealed
reduction of the fractures. The patient achieved bone union and recovered
function of the hip 4 months after surgery.
Keywords: Hip dislocation, femoral fractures, acetabulum, multiple trauma
