Case Report Traumatic Posterior Hip Dislocation with Posterior wall Acetabular Fracture Associated with Ipsilateral Femoral Neck Fracture – An Unclassified Rare Case Report
Posterior Hip Dislocation with Posterior wall Acetabular Fracture and Ipsilateral Femoral Neck Fracture
Keywords:
Acetabular wall, fracture–dislocation, osteosynthesis, pelvic injuriesAbstract
Introduction: Posterior hip dislocation is not an uncommon injury in high-impact road traffic accidents. A combination of
posterior wall fracture–dislocation with ipsilateral neck fracture without involving the head is a rare pattern of injury reported
in the literature. Case Report: We describe a case of such complex fracture (unclassified injury), which was managed by
emergent open reduction and internal fixation using a posterior approach without doing trochanteric flip osteotomy. Postoperative
review after 2 years showed a healed fracture and a stable hip joint with some heterotopic ossifications. Conclusion:
Osteosynthesis of complex hip injuries remains a big challenge due to its variable outcome. A better understanding of the
fracture mechanism, the techniques, and the sequence of fracture reduction minimizes the risk of mal-reduction, avascular
necrosis, and arthritis.
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