[Ipsilateral traumatic dislocation of hip and knee joints. Case report]

Traumatic obturator dislocation of the hip without fracture associated with antero-lateral knee dislocation is considered to be an extreme injury. Such a case, which has never been treated in our department, is reported here. The patient was a 40-year-old man who suffered his injury in a motorcycle accident. He had ipsilateral traumatic obturator hip dislocation and anterior knee dislocation.Within two hours of injury dislocation reduction was carried out under general anaesthesia, the anterior cruciate ligament was reconstructed using BTB allograft and a CT scan was obtained. In this type of trauma CT-angiography is always indicated to detect any possible threat to limb vitality. The functional results were excellent and were directly dependent on the correct use of arthroscopy. At 3 years post-operatively, his hip and knee joints were examined. The Harris hip score was 98 points and the International Knee Documentation Score (IKDC) was also excellent. There was no neurological deficit, although this type of trauma is usually associated with neurological complications. At the time of examination the patient was symptom free.