Abstract
Ipsilateral Hip Dislocation with Knee Fracture Dislocation: A Rare Combination
Highlights
Hip Dislocation occurs due to high energy motor vehicle accidents [1] and have been classified into anterior or posterior dislocations with posterior being more common (>90%)
Knee fracture dislocation results from high energy trauma and may be associated with open wounds, extensive soft tissue injury, compartment syndrome and neurovascular injury
Posterior hip dislocations are more common than anterior hip dislocations, contributing to around 90% of hip dislocations and they are often a result of axial force transmitted through a flexed knee, which is commonly seen in dashboard injuries [2]
Summary
Hip Dislocation occurs due to high energy motor vehicle accidents [1] and have been classified into anterior or posterior dislocations with posterior being more common (>90%). Knee fracture dislocation results from high energy trauma and may be associated with open wounds, extensive soft tissue injury, compartment syndrome and neurovascular injury. They have been classified based on either the direction of tibial displacement relative to the femur (Kennedy position classification system) or the ligaments disrupted in the process (Schenck anatomic classification system). We present a rare case report of patient with ipsilateral hip dislocation with knee fracture dislocation. We were able to reduce both the hip joint and the knee in the same sitting, but distal pulsations got a little feeble and we abandoned any further procedure and subjected the patient to Color Doppler of the lower limb.
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