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Simultaneous Ipsilateral Dislocation of the Hip and the Knee: A Case Report
Antonio Arenas Miquelez1, Filippo Familiari2, Lucas Arbeloa1
1Department of Trauma and Orthopaedic Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.
JBJS Case Connector
|December 30, 2017
Summary
Simultaneous hip and knee dislocations are rare, high-energy traumas. Nonoperative treatment can lead to good outcomes, especially in older, low-demand patients.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Simultaneous ipsilateral hip and knee dislocations are uncommon and severe injuries.
- These injuries typically result from high-energy trauma, necessitating prompt medical attention to prevent neurovascular complications.
Observation:
- A patient sustained ipsilateral hip and knee dislocations after being struck by an agricultural vehicle.
- The hip dislocation was reduced in the emergency department, while the knee dislocation required operative reduction under general anesthesia.
Findings:
- Both dislocations were managed nonoperatively.
- The patient experienced a favorable long-term outcome following nonoperative treatment and rehabilitation.
Implications:
- Nonoperative management, coupled with intensive rehabilitation, presents a viable alternative to surgery for specific patient populations.
- This approach may be particularly suitable for older patients with a low-demand lifestyle, offering a pathway to good functional recovery.
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