Case ReportUnusual combination of femoral head dislocation associated acetabular fracture with multipart femoral fractures: Case report

- Traumatic hip dislocation associated with multipart femural fractures is a rare and severe injury and it usually occurs following a high energy trauma, associated acetabulum fracture are even more rare.
- High energy traumas of the hip joint potentially cause devastating consequences including avascular necrosis (AVN) and subsequent early secondary osteoarthritis of the hip.
- In managing an unstable polytraumatized patient the surgeons must be more careful and propose a staged treatment strategy.

IntroductionTraumatic hip dislocation associated with femur intertrocanteric fracture is a rare and severe injury and it frequently occurs following a high energy trauma, Associated acetabular fractures with this injury are even more rare and potentially cause devastating consequences including avascular necrosis of the femoral head and subsequent early secondary osteoarthritis of the hip joint.Presentation of caseIn this case report, we present a 20 year old polytraumatized patient with traumatic hip dislocation associated with ipsilateral acetabulum fracture and simultaneous fractures of the ipsilateral femur.DiscussionTraumatic hip dislocation associated with femur intertrochanteric fracture is a rare and severe injury and it frequently occurs following a high energy trauma. In polytraumatized patients, musculoskeletal injuries are the most common lesions requiring surgical intervention frequently presenting challenging scenarios in terms of functional outcome and quality of life. Osteonecrosis of the femoral head is a serious and unpredictable complication that may occur after displaced femoral neck fracture and traumatic hip dislocation due to the disturbed blood supply of the femoral head.ConclusionA staged treatment strategy may be useful managing an unstable polytraumatized patient or a patient who requires prolonged transfer to receive definitive care.