Simultaneous ipsilateral hip and knee fracture-dislocations

Simultaneous ipsilateral hip and knee fracture-dislocations are orthopedic emergencies requiring immediate management. Delayed or inadequate treatment usually results in an extremely poor outcome. Reduction of the dislocated hip can be difficult because of the ipsilateral knee dislocation and instability. We report a case involving a 46-year-old man with simultaneous ipsilateral hip and knee fracture-dislocations. He underwent closed reduction for the knee fracture in the emergency department but required open reduction and internal fixation of the unstable hip fracture-dislocation with a distal femur skeletal traction pin under general anesthesia.