Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case.
BACKGROUND
Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome.


METHODS
45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture on the ipsilateral side. The complex fracture geometry was confirmed by CT scan. The patient was successfully managed by open reduction and internal fixation of intertrochanteric fracture was achieved with dynamic hip screw (DHS) plate fixation followed by fixation of acetabular fracture with reconstruction plate.


CONCLUSIONS
Hip dislocation combined with acetabular fracture is an uncommon injury; this article presents a unique case of posterior wall and transverse fractures of ipsilateral acetabulum with intertrochanteric fracture in a patient who sustained traumatic posterior hip dislocation. Early surgical intervention is important for satisfactory outcomes of such complex fracture-dislocation injuries.
Department of Orthopedic Surgery, Dr RML Hospital & PGIMER, New Delhi. India.
Skand
S
Sinha
Department of Orthopedic Surgery, Dr RML Hospital & PGIMER, New Delhi. India.
Ananta K
AK
Naik
Department of Orthopedic Surgery, Dr RML Hospital & PGIMER, New Delhi. India.
Rajendra K
RK
Arya
Department of Orthopedic Surgery, Dr RML Hospital & PGIMER, New Delhi. India.
Vijay K
VK
Jain
Hip dislocation; acetabular fractures; intertrochanteric fracture; operative treatment