Hip dislocation with ipsilateral shaft of femur fracture: A rare case report.

INTRODUCTION

Posterior hip dislocation with ipsilateral shaft of femur fracture is a very rare case encountered. This case presents a rare combination of posterior hip dislocation with ipsilateral femoral shaft fracture with head of femur fracture of a sixteen year old male patient following a road traffic accident (RTA). It emphasizes the importance of a multidisciplinary trauma protocol, early imaging, and timely surgical intervention in complex orthopedic injuries.

CASE PRESENTATION: Patient was presented in the emergency department with complaints of severe pain and deformity in the left hip and thigh, inability to bear weight, and laceration below the left knee. After initial emergency management patient was operated on with closed reduction of the hip and intramedullary interlocking nailing of the femur after 6 h. Postoperatively, skin traction was applied for 2 weeks to prevent re-dislocation of the hip. Successful surgical management with good functional recovery was achieved. At 2 weeks, the patient was ambulatory with non-weight bearing and crutch walking with no complications seen.

CLINICAL DISCUSSION: This case underscores the need for protocol-driven, multidisciplinary care in adolescent trauma, with emphasis on early intervention and comprehensive assessment for preventing the patient from complications such as avascular necrosis of the femoral head.

CONCLUSION

Posterior dislocation of the hip with ipsilateral shaft of femur fracture is an uncommon type of injury where early emergency management followed by prompt surgical intervention is required to prevent avascular necrosis of the femur head. Regular follow-up is essential for monitoring and assessment of condition of hip.