Sharma Gaurav, Chahar Deepak, Sreenivasan Ravi, Verma Nikhil, Pankaj Amite
Senior Resident, Department of Orthopaedics, AIIMS, Delhi, India.
Senior Resident, Department of Orthopedics, University College of Medical Sciences, University of Delhi and GTB Hospital Delhi, India.
J Clin Orthop Trauma. 2016 Apr-Jun;7(2):115-21. doi: 10.1016/j.jcot.2016.02.012. Epub 2016 Mar 8.
Hip and knee dislocations are not uncommon but simultaneous ipsilateral dislocation of the hip and knee joint is rare; consequently, there is an inadequate amount of literature on the subject. We identified only 11 such cases reported in English literature. In the present report, we describe the case of a 23-year-old male patient who presented with ipsilateral hip and knee dislocation on the right side after being involved in a road traffic accident. The hip dislocation was associated with a posterior wall acetabular fracture. The hip as well as the knee joints was reduced in the emergency bay. The patient underwent an urgent fixation of the posterior wall acetabular fracture with delayed ligament reconstruction for the knee dislocation. At one-year follow-up, he had no pain in the hip or knee. There was grade 1 posterior sag but no symptoms of knee instability. Radiographs revealed no evidence of avascular necrosis or arthritis of the femoral head. The normal treatment protocol for individual injury is affected by the simultaneous occurrence of hip and knee dislocation.
髋部和膝部脱位并不罕见，但同侧髋关节和膝关节同时脱位则较为少见；因此，关于该主题的文献数量不足。我们在英文文献中仅发现11例此类病例报告。在本报告中，我们描述了一名23岁男性患者的病例，该患者在遭遇道路交通事故后出现右侧同侧髋关节和膝关节脱位。髋关节脱位伴有髋臼后壁骨折。髋关节和膝关节均在急诊室进行了复位。患者接受了髋臼后壁骨折的紧急固定，并对膝关节脱位进行了延迟韧带重建。在一年的随访中，他的髋部或膝部均无疼痛。存在1级后 sag，但无膝关节不稳定症状。X线片显示无股骨头缺血性坏死或关节炎的证据。髋部和膝部脱位的同时发生会影响个体损伤的正常治疗方案。
