Posterior dislocation of a native hip joint associated with ipsilateral per-trochanteric fracture: A rare case report. (February 2018)

• Record Type: Journal Article
• Authors: Fageir, Mazin; Veettil, Manoj Kumar Puthiyavaniya
• Is Part Of: Trauma case reports. Volume 13(2017)
• Page Start: 1
• Page End: 13
• Publication Date: 2018-02
• Subjects: Dislocation -- Native -- Hip -- Joint -- Inter-trochanteric -- Intramedullary -- Nail; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2017.09.003
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: We describe a case of traumatic posterior dislocation of a native hip joint associated with ipsilateral comminuted inter-trochanteric femoral fracture. In our case, closed reduction was attempted but proved unsuccessful. Taking into account the planned subsequent intra-medullary femoral nail, open reduction through a lateral incision was undertaken. Post-operatively, the planned mobility was for a non-weight bearing period of 6 weeks followed by a partial-weight bearing period of 6 weeks before progressing to full-weight bearing. Post-operatively, the patient completed a comprehensive course of physiotherapy. At five months, he was able to walk for five miles over the course of a weekend. At six months, the patient was looking at phased return to work as a fire fighter. Radiographs taken at the time demonstrated evidence of healing to his inter-trochanteric fracture. At ten months, the patient was back to normal duties at work as a fire fighter.