Ragunath R, Prashanth K Tarun, Thirunthaiyan M R, Kumar R Dorai, Sundararaja B
Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
J Orthop Case Rep. 2025 Jun;15(6):141-147. doi: 10.13107/jocr.2025.v15.i06.5694.
Simultaneous ipsilateral hip and knee dislocations are extremely rare, especially when associated with fractures, and present significant challenges in diagnosis and management. These injuries, often resulting from high-velocity trauma, require prompt intervention to tackle the complications and achieve a good outcome.
We present the case of a 28-year-old male who sustained an ipsilateral hip fracture dislocation and knee dislocation following a high-velocity road traffic accident. Initial clinical examination revealed significant deformities in both joints, and imaging confirmed posterior dislocation of the hip with an acetabular wall fracture and a posterior knee dislocation with an inferior pole patella fracture. Emergency closed reduction was performed within hours of the incident, followed by detailed imaging studies including computed tomography and magnetic resonance imaging. Surgical management involved open reduction and internal fixation of the femoral head and posterior acetabular wall reconstruction. Post-operative rehabilitation focused on joint mobility and strength, and the patient achieved full weight-bearing and near-complete range of motion by 18 months.
The rare occurrence of simultaneous hip and knee dislocations necessitates careful management, with emphasis on early reduction and neurovascular assessment. This case highlights the challenges of managing such injuries, including the coordination of hip and knee reduction techniques and post-operative rehabilitation tailored to the patient's needs. Despite the complexity, timely intervention and individualized care can lead to favorable outcomes, even in severe trauma.
Ipsilateral hip and knee dislocations require urgent diagnosis and a multidisciplinary approach for optimal management. Prompt closed reduction, appropriate surgical intervention, and a tailored rehabilitation protocol are key to achieving good functional outcomes in these rare and complex injuries.
同侧髋膝关节同时脱位极为罕见，尤其是合并骨折时，在诊断和处理上存在重大挑战。这些损伤通常由高速创伤导致，需要及时干预以应对并发症并取得良好预后。
我们报告一例28岁男性，在高速道路交通事故后发生同侧髋部骨折脱位和膝关节脱位。初始临床检查发现两个关节均有明显畸形，影像学检查证实髋关节后脱位伴髋臼壁骨折，膝关节后脱位伴髌骨下极骨折。事故发生数小时内即进行了急诊闭合复位，随后进行了包括计算机断层扫描和磁共振成像在内的详细影像学检查。手术治疗包括股骨头切开复位内固定和髋臼后壁重建。术后康复重点在于关节活动度和力量训练，患者在18个月时实现了完全负重和近乎完全的活动范围。
同侧髋膝关节同时脱位的罕见情况需要谨慎处理，重点在于早期复位和神经血管评估。本病例突出了处理此类损伤的挑战，包括髋膝关节复位技术的协调以及根据患者需求定制的术后康复。尽管情况复杂，但及时干预和个体化护理即使在严重创伤时也能带来良好预后。
同侧髋膝关节脱位需要紧急诊断并采用多学科方法进行优化管理。及时的闭合复位、适当的手术干预以及定制的康复方案是在这些罕见且复杂的损伤中取得良好功能预后的关键。
