Severe Open Dislocation of the Hip with Exposed Femoral Head: A Case Report
Stefano Zanarella1, Alessandro Cappellari, Alvise Ruaro
1Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Padova, Italy.
Case:
A 54-year-old woman was brought to our emergency department with an inferomedial open hip dislocation without fracture secondary to a railway trauma. We performed hip reduction, wound debridement, and stabilization with external fixation. After 7 months, hip arthroplasty was performed for severe hip instability and avascular necrosis of the femoral head.
Conclusion:
Open hip dislocation is an uncommon injury that is caused by high-energy trauma. It may be associated with serious management problems and complications, including infection and avascular necrosis of the femoral head.
