European Journal of Biomedical and Pharmaceutical Sciences

POSTERIOR FRACTURE-DISLOCATION HIP WITH IPSILATERAL UNSTABLE INTERTROCHANTERIC FEMUR FRACTURE: A CASE REPORT

Feras Almosailhy, Mohamed Talaat Elsaid Aly Elshaktour*, Faisal Alrefaei and Ahmed Asur

ABSTRACT

Introduction: Posterior Hip dislocation injury is not uncommon in a motor vehicle accident. A hip fracture-dislocation associated with ipsilateral Peri-trochanteric femur fracture is extremely rare and only very few cases have been reported. Patient and methods: In our case, we report it in a 33 years old lady who underwent open reduction internal fixation with 2 lag screws & buttressing plate for the posterior acetabular wall fracture, long Gamma nail for the trochanteric fracture and hooked plate with ethibond sutures for the greater trochanter comminuted fracture. At 6 months follow up, patient had a good function and radiological outcome without evidence of avascular necrosis nor other complications. Discussion: Such a case is rare, but there is a need of well-established management protocol due to its happening would be more common with increasing of modern high energy trauma like a motor vehicle accident.

Keywords: Case Report, posterior dislocation hip, intertrochanteric fracture, open reduction, ipsilateral.