Asymmetric Bilateral Hip Fracture-Dislocation: A Case Report and Literature Review

• Main Authors: SM Javad Mortazavi, Hamed Mazzochy, Mohammed Ali Ghasemi, Furqan Mohammed Yaseen Khan
• Format: Article
• Language: English
• Published: Tehran University of Medical Sciences 2020-08-01
• Series: Journal of Orthopedic and Spine Trauma
• Subjects: Hip dislocation; Femoral head fracture; Fracture-dislocation; Open reduction; Case report
• Online Access: https://jost.tums.ac.ir/index.php/jost/article/view/164

Background: Asymmetric bilateral hip dislocation is a rare condition and the association with bilateral femoral head fracture makes it even more rare. We report a patient with asymmetric bilateral hip fracture – dislocation and our management and therapeutic approach. Case Report: A 28-year-old male sustained motor vehicle accident and presented asymmetric bilateral hip fracture-dislocation. In the initial step close reduction was performed and in the following step the patient underwent bilateral open reduction and fixation of femoral head fragment by screws. The results were satisfactory after 5 year follow-up. Conclusion: Although rare, paradoxical femoral head fracture should be considered in patients with hip dislocation. Our management and therapeutic approach seems to be appropriate for this case and is suggested in similar cases.