Bilateral Simultaneous Anterior Obturator and Pubic Dislocation of the Hip: A Case Report and Literature Review

Bilateral anterior hip dislocations are exceedingly rare, accounting for only 2-5% of all traumatic hip dislocations. They typically result from high-energy trauma, with most cases reported in road traffic accidents. Early reduction is crucial to minimize complications such as avascular necrosis, irreducibility, and post-traumatic osteoarthritis.

We report the case of a 32-year-old male who sustained bilateral anterior hip dislocations, pubic type on the right and obturator type on the left, following a high-energy trauma involving a fall astride a roadside ravine. The patient presented with complete functional disability of both lower limbs. Radiographs confirmed the diagnosis, and an urgent closed reduction was performed using the modified Bigelow's maneuver for the right hip and the Allis maneuver, followed by a levering maneuver for the left hip. Post-operative management included analgesia and a progressive mobilization protocol. At the 3-month follow-up, the patient had achieved pain-free ambulation, with only mild movement restriction.

This case highlights the rarity of bilateral anterior hip dislocations and the importance of early recognition and reduction to ensure optimal recovery. A structured management approach with timely reduction, imaging, and rehabilitation is crucial for a favorable outcome. Rehabilitation includes strict bed rest for a week, progressive return to walking with crutches for a week, then full support.