Traumatic bilateral hip dislocation with bilateral sciatic nerve palsy.
Bilateral hip dislocation rarely occurs. In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic accident is reported. Both hips were emergently reduced under general anaesthesia. Acetabular reconstruction was done bilaterally due to the unstable hips. The patient subsequently developed heterotopic ossification and avascular necrosis on the left hip and underwent total hip arthroplasty. The sciatic nerve on the right side achieved complete recovery but that on the left side only partly recovered and was augmented by tendon transfer. Such injuries are serious and one should be aware of the complications because they can resurface and so patients should be followed up for a long time. To the best of our knowledge, this kind of injury has not been reported in the English language literature.
Singh
Ajay Pal
AP
Department of Orthopaedics, Guru Teg Bahadur Hospital, University College of Medical Sciences, University of Delhi, Delhi, India. docajaypal@gmail.com
Sidhu
Amarjit Singh
AS
Singh
Arun Pal
AP
D000063:Accidents, Traffic; D006617:Hip Dislocation / Q000150:complications*; D006620:Hip Fractures / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000209:etiology; D012584:Sciatic Nerve / Q000293:injuries; D020426:Sciatic Neuropathy / Q000209:etiology*