Bilateral traumatic hip dislocation.

Area of Science:

• Orthopedic surgery
• Trauma care

Background:

• Bilateral hip dislocations are rare, particularly in young adults.
• Posterior fracture-dislocations require precise classification and management.

Observation:

• A 19-year-old female presented with an unusual bilateral hip dislocation.
• Left hip: Type III posterior fracture-dislocation (Thompson and Epstein).
• Right hip: Type V posterior dislocation (Thompson and Epstein classification, modified by Pipkin criteria).

Findings:

• Open surgical treatment was performed.
• Screw fixation was utilized for the left hip.
• A sheared fragment of the right femoral head was removed.
• This approach successfully treated the complex dislocations.

Implications:

• Early surgical intervention with fragment removal can prevent prolonged immobilization.
• This management strategy is crucial for young patients with complex hip injuries.
• Preservation of joint function is a key outcome in managing traumatic hip dislocations.