Traumatic dislocation of bilateral hips and ankles

Bilateral traumatic hip dislocation is rare, and pure ankle dislocation without bony fracture is also rare. We present a patient who sustained bilateral hip and bilateral ankle dislocations without associated fracture after a fall from a significant height. Management consisted of immediate closed reduction of bilateral hips and bilateral ankles under conscious sedation in the emergency department, followed by immobilization of the ankles with short leg splints. After 2 weeks of bed rest with skin traction, the patient was initially mobilized in a wheelchair. He was allowed partial weight bearing after 4 weeks. Clinical and radiographic follow-up continued for 2 years after the accident. The patient reported complete disappearance of pain in hips and ankles. Good range of motion of the hips and ankles was also noted. There was no radiographic evidence of avascular necrosis, osteoarthritis, or calcification at 2-year follow-up.