Bilateral asymmetrical hip dislocations with acetabulum fractures; a case report

Area of Science:

• Orthopedic Surgery
• Trauma Management

Background:

• Bilateral hip dislocations are uncommon, with asymmetrical presentations being exceedingly rare.
• This study focuses on two unique cases of bilateral asymmetrical hip dislocations.

Observation:

• Both patients sustained injuries from significant trauma (fall from height, road traffic accident).
• Associated injuries included acetabulum fractures, midshaft femur fracture, and sciatic nerve (peroneal part) injury.
• Reduction of anterior dislocations was straightforward, while posterior dislocations required open reduction due to ipsilateral femur fracture or hip instability.

Findings:

• Acetabulum fractures were successfully managed with reconstruction plates.
• Postoperative recovery was generally uneventful, with the exception of peroneal nerve injury leading to foot drop.
• Ankle foot orthosis was utilized to manage the foot drop sequelae.

Implications:

• These cases underscore the complexity of managing bilateral asymmetrical hip dislocations with associated fractures.
• Highlights the importance of careful surgical planning and management of neurovascular complications.
• Provides insights into treatment strategies for rare traumatic hip injuries and their sequelae.