title: Posterior dislocation of the hip with bilateral femoral fractures: An unusual combination.
abstract: Posterior hip dislocation with concomitant femoral fracture is very rare. Here, we report a rare case of a 43-year-old man who was injured in a car accident. The patient sustained right posterior hip dislocation with concomitant right acetabular transverse and posterior wall fracture, ipsilateral femoral shaft fracture, and contralateral proximal femoral fracture (AO type 31-A3). Closed reduction of the hip was attempted, but failed. The acetabular fracture and posterior hip dislocation were reduced and acetabular fracture was fixed using plates through the Kocher-Langenbeck approach. The ipsilateral femoral fracture was treated with closed reduction and intramedullary nailing. The contralateral femoral fracture was treated with closed reduction and Gamma 3 nailing. Postoperative X-rays revealed reduction of the fractures. The patient achieved bone union and recovered function of the hip 4 months after surgery.
authors.affiliation: Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Bao-Chang
authors.initials: BC
authors.lastname: Qi
authors.affiliation: Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Cheng-Xue
authors.initials: CX
authors.lastname: Wang
authors.affiliation: Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Tie-Jun
authors.initials: TJ
authors.lastname: Wang
authors.affiliation: Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Ji-Ting
authors.initials: JT
authors.lastname: Zhang
authors.affiliation: Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Wei-Na
authors.initials: WN
authors.lastname: Ju
authors.affiliation: Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
authors.forename: Da-Hui
authors.initials: DH
authors.lastname: Sun
mesh_terms: D000063:Accidents, Traffic; D000077:Acetabulum; D000328:Adult; D001860:Bone Plates; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006617:Hip Dislocation / Q000601:surgery*; D006801:Humans; D008297:Male
keywords: Hip dislocation; acetabulum; femoral fractures; multiple trauma