Scholarlink

Background <p>Ipsilateral fractures and dislocations involving the hip, distal femur, and patella are rare and pose significant management challenges.</p> Case Presentation <p>We present a unique case of a 50-year-old male who sustained a posterior hip dislocation with femoral head fracture, medial femoral condyle fracture, and rotational patellar dislocation incarcerated between the femoral condyles following a high-energy roadside accident. The patient presented with limb deformity and a knee wound within 30 min post-injury. Initial closed reduction attempts failed, and surgical intervention under spinal anaesthesia achieved hip reduction via the Allis manoeuvre, open fixation of the distal femur fracture, and patellar relocation.</p> Outcome <p>Postoperative recovery was uneventful, with satisfactory joint function at five months. However, at 20 months, the patient developed avascular necrosis with osteoarthritic changes for which total hip replacement was advised.</p> Conclusion <p>This case highlights the importance of prompt diagnosis and coordinated surgical management of complex lower-limb trauma.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

An Unusual Ipsilateral Hip and Knee Trauma: Rotational Patellar Dislocation Incarcerated Between Femoral Condyles with Medial Femoral Condyle Fracture and Fracture–Dislocation of the Hip

  • 期刊论文

  • 发表日期：

    2025年8月8日

查看全文
  • Kunal Goel,
  • Neelam Kumari,
  • Rajiv Kapila,
  • Virender Singh,
  • Devinder Kumar

摘要

Background

Ipsilateral fractures and dislocations involving the hip, distal femur, and patella are rare and pose significant management challenges.

Case Presentation

We present a unique case of a 50-year-old male who sustained a posterior hip dislocation with femoral head fracture, medial femoral condyle fracture, and rotational patellar dislocation incarcerated between the femoral condyles following a high-energy roadside accident. The patient presented with limb deformity and a knee wound within 30 min post-injury. Initial closed reduction attempts failed, and surgical intervention under spinal anaesthesia achieved hip reduction via the Allis manoeuvre, open fixation of the distal femur fracture, and patellar relocation.

Outcome

Postoperative recovery was uneventful, with satisfactory joint function at five months. However, at 20 months, the patient developed avascular necrosis with osteoarthritic changes for which total hip replacement was advised.

Conclusion

This case highlights the importance of prompt diagnosis and coordinated surgical management of complex lower-limb trauma.