JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Abstract

Traumatic hip dislocations are extremely rare occurrences. About 50 cases have been reported so far in the world literature. However with increase in the speeding road traffic accidents [RTA] one should be aware of the same and promptly treat them. Here we report four patients who sustained traumatic hip dislocations following RTA. In the first case, patient also had fractures of superior and inferior pubic ramii, closed fracture of left tibia, closed fracture of right femur and open type- 2 fracture of right tibia. He was resuscitated in the emergency room and closed reduction of both hips and IM nailing of right femur was done followed by IM nailing of both tibiae. The patient was non weight bearing for about 6 months. The first patient was followed up for about 4 years and is asymptomatic with union of all fractures. The other three patients had only hip dislocation and was managed on similar lines and six month follow up has shown no secondary changes in the hip joints.

Key words: Hip dislocations, Anterior dislocation, Posterior dislocation, IM nailing