'Floating pelvis'. A combination of bilateral hip dislocation with a lumbar ligamentous disruption

Traumatic Bilateral Central Hip Dislocation: A Case Report

Dislocations of the hip represent uncommon clinical entities, occurring mostly after high energy trauma such as car accidents. A handful of asymmetrical bilateral hip dislocations following trauma have already been reported. Nevertheless, bilateral central dislocation of the hips has only been described in cases of convulsions or cerebrovascular events. A young male, due to traumatic bilateral central hip dislocation resulting in inner pelvic rings, as well as left iliac wing fractures, underwent a two-stage surgery. Initially, open reduction and internal fixation through ilioinguinal approach was performed, using a compression plate for the inner pelvic ring, as well as an inter-fragmentary lag screw and a contoured reconstruction plate for stabilization of the iliac wing fracture on the left side. A week later, the patient underwent open reduction and internal fixation with a compression plate on the right side. Unstable pelvic injuries pose a surgical challenge, while their treatment requires meticulous preoperative planning. Such cases should be managed in trauma centers with adequate experience and the necessary resources. Only few reports of such injuries exist in patients suffering seizures or undergoing electroconvulsive therapy, while the case described here represents the first report of a traumatic bilateral central hip dislocation.

Traumatic hip dislocation with associated femoral head fracture

Dislocation of the hip is a critical injury that results from high-energy trauma. This paper describes a case of posterior dislocation of the right hip in a 35-year-old woman with associated ipsilateral femoral head fracture. Initial treatment included reduction of the right hip through posterior approach and fixation of the femoral head fracture with three absorbable screws. After 15-month follow-up, a full range of motion has been achieved and there are no signs of avascular necrosis, hip instability, or limping. The authors describe their method of surgery.