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Bilateral Simultaneous Traumatic Hip Dislocation In Opposite Direction At A Non Complient Patient

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Author(s): Savvas Lykoudis, Ioannis Koutroubas, Nikolaos Manidakis, George Tzoanos, Kyriakos Kakavelakis, Konstantinos Balalis, Pavlos G. Katonis.

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 7;
Issue: 4;
Date: 2010;
Original page

Keywords: Bilateral hip dislocation | acetabular fracture | closed reduction | open reduction | posterior wall reconstruction | total hip arthroplasty | motor vechicle accident | patient compience.

ABSTRACT
This case presents a bilateral simultaneous hip dislocation with left hip anterior dislocated and the right hip posterior dislocated accompanied by posterior wall fracture. The first try for reduction was made in the emergency room under sedation and a post reduction plain radiograph and C/T scan was applied. The left hip reduction was achieved but for the right hip an open reduction in the operating with posterior Kocher- Langebeck approach was applied with posterior wall fracture reconstruction and bony fragment from the hip joint removal. The patient was non-compliance and immediately after operation left the hospital, coming again to the emergency department after three months with loss of reduction from the right hip and fixation break down. The definitive treatment for the patient was cementless total hip replacement with metal cage in the acetabulum for posterior wall support. Traumatic hip dislocation is a true Orthopaedic emergency and it needs prompt diagnosis and immediate therapy.
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