A Rare Case : Traumatic Posterior Hip Dislocation Associated with Anterior Column and Incomplete Posterior Column Acetabular Fracture

Main Article Content

Affan Sodiq Sabda Prayoga
Khrisnanto Nugroho
Aris Handoko

Abstract

Introduction: The hip is among the most solid joints within the human body that took a lot of force to dislocate it. Hip dislocation is frequently associated with acetabulum fracture. Although traumatic posterior hip dislocation is rarely involved anterior column fracture. 


Case Presentation: We describe a rare case of traumatic posterior dislocation of hip associated with anterior column and incomplete posterior column acetabular fracture in a young female following road traffic accident. The patient hip dislocation was reduced with closed reduction and perfomed open reduction and fixation under C-Arm for acetabular fracture management. Assessment of anterior and posterior acetabular column was revealed stable after fixation. The goals are to maximize the patient's ability to function, enable early recovery to function. The patient was able to flex her left hip at 6 weeks after the surgery.


Conclusion: This case highlights a rare case of the traumatic posterior hip dislocation associated with anterior column and incomplete posterior column acetabular fracture, attempts to elucidate the mechanism of injury and perform prompt reduction to achieve a better patient outcome.

Article Details

How to Cite
Sabda Prayoga, A. S., Nugroho, K. ., & Handoko, A. . (2022). A Rare Case : Traumatic Posterior Hip Dislocation Associated with Anterior Column and Incomplete Posterior Column Acetabular Fracture. International Journal of Medical Science and Clinical Research Studies, 2(9), 1022–1027. https://doi.org/10.47191/ijmscrs/v2-i9-23
Section
Articles

References

I. Clegg TE, Roberts CS, Greene JW, Prather BA. Hip dislocations--epidemiology, treatment, and outcomes. Injury. 2010 Apr;41(4):329-34. doi: 10.1016/j.injury.2009.08.007. Epub 2009 Sep 30. PMID: 19796765.

II. Yousefi A, Ashraf H, Mashhadinezhad A, Birjandinejad A. Posterior hip dislocation associated with posterior wall acetabular fracture and ipsilateral intertrochantric fracture: a very rare case report. Trauma Mon. 2013 Winter;17(4):409-11. doi: 10.5812/traumamon.8520. Epub 2013 Jan 15. PMID: 24350139; PMCID: PMC3860658.

III. Singh A, Vohra R, Bansal S. Posterior dislocation hip with anterior column acetabular fracture: a very rare injury. Int J Res Orthop 2018;4:330-2.

IV. Hadisoebroto Dilogo, Ismail & Erwin, Uno & Hendriarto, Andra. (2020). Posterior Dislocation of Left Hip Joint with Closed Fracture Of Left Acetabulum Judet-Letournel Type Posterior Wall, Femoral Head Fracture, Management And Follow Up: A Case Report. International Journal of Surgery Case Reports. 71. 10.1016/j.ijscr.2020.04.009.

V. Nohmi S, Oishi H, Sakamoto Y. Posterior hip fracture-dislocation associated with posterior wall fracture of the acetabulum and ipsilateral comminuted trochanteric fracture of the femur: A case report. Int J Surg Case Rep. 2022 May;94:107075. doi: 10.1016/j.ijscr.2022.107075. Epub 2022 Apr 12. PMID: 35427888; PMCID: PMC9026913.

VI. Sinha S, Naik AK, Arya RK, Jain VK. Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case. J Orthop Case Rep. 2013 Oct-Dec;3(4):31-4. doi: 10.13107/jocr.2250-0685.128. PMID: 27298928; PMCID: PMC4719285.

VII. Nayak M, Yadav R, Sahu BK, Kumar VS, Sharma V. An Rare Presentation of Pubic-type Anterior Hip Dislocation with Concomitant Anterior and Posterior Acetabular Wall Fracture. Cureus. 2019 Apr 5;11(4):e4390. doi: 10.7759/cureus.4390. PMID: 31223549; PMCID: PMC6555496.

VIII. Hadisoebroto Dilogo, Ismail & Bernadus, Riyan & Hartanto, & Lee, Milton & Routt, Chip. (2022). State of The Art Current Acetabulum Fracture Management. 10.46355/hipknee.v3i1.119.

IX. Wan, Yizhou & Yao, Sheng & Chen, Kaifang & Zeng, Lian & Zhu, FengZhao & Sun, Tingfang & Guo, Xiaodong. (2021). Treatment of anterior column posterior hemitransverse fracture with supra-ilioinguinal approach. Journal of International Medical Research. 49. 030006052098282. 10.1177/0300060520982824.

X. Chen W, Su Y, Zhang Y, Zhang Q, Zheng Z, Pan J. Rare combination of posterior femoral head dislocation with anterior and posterior wall fractures in the ipsilateral acetabulum. Orthopedics. 2010;33(6):440