title: Three part posterior fracture dislocation of the hip without fracture of the femoral head: review of literature and a case report.
abstract: This case report describes a rare posterior dislocation of the hip with fractures of the ipsilateral femoral neck and greater trochanter, without fracture of the femoral head, in a young adult male following a railway accident. This patient was managed within 6h of injury by open reconstruction. This unusual injury has not been reported previously. Cases of posterior fracture dislocation of the hip with a fracture of the femoral neck without fracture of the femoral head were reviewed from the literature. Mechanism of injury, controversies regarding operative procedures and appropriate surgical approach are discussed. The authors also believe that this injury pattern merits inclusion in the existing classification system of fracture dislocation of hip for management and prediction of outcome.
authors.affiliation: Sushruta Trauma Center, Annex, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
authors.forename: Lalit
authors.initials: L
authors.lastname: Maini
authors.forename: Puneet
authors.initials: P
authors.lastname: Mishra
authors.forename: Pankaj
authors.initials: P
authors.lastname: Jain
authors.forename: Ashish
authors.initials: A
authors.lastname: Upadhyay
authors.forename: Ajay
authors.initials: A
authors.lastname: Aggrawal
mesh_terms: D000059:Accidents; D000328:Adult; D005265:Femoral Neck Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006620:Hip Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D011890:Railroads