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Posttraumatic Anterior Hip Dislocation with Ipsilateral Comminuted Intertrochanteric Fracture: A Rare Case Report
Vinay Prabhat1, Verma Dipak Kumar Prakash Prasad, Rohit Topno
1Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Annals of African Medicine
|August 14, 2024
Summary
This case report details a rare instance of anterior hip dislocation with an ipsilateral intertrochanteric fracture. Hemiarthroplasty was successfully used to manage this complex hip injury in a neglected case.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- The hip joint's stability is attributed to its ball-and-socket structure.
- Recent increases in hip dislocation are linked to high-energy trauma.
- Associated fractures commonly involve the femur and acetabulum.
Observation:
- A 66-year-old male presented with a 22-day history of right hip pain and inability to bear weight after a fall.
- Radiographs revealed an anterior hip dislocation with a comminuted ipsilateral intertrochanteric fracture.
- This combination of injuries is exceptionally rare in medical literature.
Findings:
- The neglected hip dislocation and ipsilateral intertrochanteric fracture were managed with hemiarthroplasty.
- A long cemented distal press-fit revision stem was utilized for the procedure.
- Primary arthroplasty is a viable option for neglected cases due to risks of avascular necrosis and osteoarthritis.
Implications:
- This case highlights a rare traumatic hip injury pattern.
- Management strategies for neglected hip dislocations with associated fractures should be considered.
- Arthroplasty offers a treatment option, particularly in complex or neglected scenarios.
