Traumatic Posterior Dislocation of Hip with Ipsilateral Fracture of Shaft of Femur: Temporary Fixator-assisted Reduction and Final Fixation with Interlocking Nail.

Rajesh Rana,Saroj K Patra,Mantu Jain,Susanta Khuntia,Bishnu P Patro

doi:10.7759/cureus.5488

Rajesh Rana, Saroj K Patra + Show 3 more

Open Access

https://doi.org/10.7759/cureus.5488

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Journal: Cureus	Publication Date: Aug 26, 2019
Citations: 2	License type: cc-by

Affiliation: All India Institute of Medical Sciences Bhubaneswar

Abstract

Ipsilateral fracture of the shaft of femur and dislocation of the hip are very rare injuries. There always exists a dilemma regarding the treatment to reduce hip and choosing the appropriate method of ﬁxation for a femur fracture, and a clear consensus is yet to be reached. A number of treatment methods such as the open reduction of femur and ﬁxation followed by hip reduction have been tried so far. Ipsilateral fractures and dislocation occur due to high-energy trauma, and reduction of hip dislocation is considered as an orthopedic emergency. Here, we report a case in which we tried a novel approach by temporarily ﬁxing the femur with an external ﬁxator and reducing the hip dislocation. In the next sitting, we performed femur ﬁxation in a closed manner with an interlocking intramedullary nail. We recommend that this novel method of treatment can be used for such types of injuries.

Highlights

Ipsilateral fracture of the shaft of femur and dislocation of the hip are very rare injuries [1]
The patient was treated with a temporary external fixator followed by a reduction of hip dislocation
The fixator was removed followed by a closed reduction and internal fixation of the fractured shaft of femur with an interlocking nail [2]

Summary

Introduction

Ipsilateral fracture of the shaft of femur and dislocation of the hip are very rare injuries [1]. We report the case of an 18-year-old male patient with ipsilateral hip dislocation and a fracture in the shaft of femur. The patient was treated with a temporary external fixator followed by a reduction of hip dislocation. How to cite this article Rana R, Patra S K, Khuntia S, et al (August 26, 2019) Traumatic Posterior Dislocation of Hip with Ipsilateral Fracture of Shaft of Femur: Temporary Fixator-assisted Reduction and Final Fixation with Interlocking Nail. We had two options: open reduction and external fixation, and closed manipulation of the dislocation of the hip joint. We placed a temporary external fixator in the femur under anesthesia, and performed closed manipulation and reduction of dislocation of the hip using the Allis method (Figure 3). He was allowed partial weight-bearing based on his tolerance

Discussion

Conclusions

Disclosures

Ehtisham SM