Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence
Bilateral asymmetrical hip dislocations are rare, occurring in only 0.01–0.02% of all joint dislocations, typically following high-energy trauma. We present a 22-year-old male involved in a high-speed motor vehicle collision, sustaining a right posterior hip dislocation with an associated posterior...
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MDPI AG
2025-03-01
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| Online Access: | https://www.mdpi.com/2075-1729/15/4/532 |
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| author | Jovana Grupkovic Uros Dabetic Nikola Bogosavljevic Dejan Aleksandric Mladen Milanovic Dunja Savicevic Slavisa Zagorac |
| author_facet | Jovana Grupkovic Uros Dabetic Nikola Bogosavljevic Dejan Aleksandric Mladen Milanovic Dunja Savicevic Slavisa Zagorac |
| author_sort | Jovana Grupkovic |
| collection | DOAJ |
| description | Bilateral asymmetrical hip dislocations are rare, occurring in only 0.01–0.02% of all joint dislocations, typically following high-energy trauma. We present a 22-year-old male involved in a high-speed motor vehicle collision, sustaining a right posterior hip dislocation with an associated posterior wall acetabular fracture and a left obturator-type anterior dislocation. He underwent successful closed reduction within two hours post-injury, but due to persistent instability of the posterior acetabular wall fracture, open reduction and internal fixation (ORIF) via a Kocher–Langenbeck approach was performed. A structured rehabilitation protocol facilitated full functional recovery at six months, with no evidence of avascular necrosis (AVN) or post-traumatic osteoarthritis. A literature review of relevant studies highlights the importance of early reduction (<6 h) to reduce AVN risk, timely surgical stabilization for acetabular fractures, and individualized rehabilitation strategies. While our case supports established treatment guidelines, long-term outcomes and optimal rehabilitation protocols remain areas for further research. Expedited diagnosis, early intervention, and evidence-based management are essential in achieving favorable outcomes for these complex injuries. |
| format | Article |
| id | doaj-art-ef5a2f5219094c61acd3ec9de29c4443 |
| institution | OA Journals |
| issn | 2075-1729 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-ef5a2f5219094c61acd3ec9de29c44432025-08-20T02:28:32ZengMDPI AGLife2075-17292025-03-0115453210.3390/life15040532Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current EvidenceJovana Grupkovic0Uros Dabetic1Nikola Bogosavljevic2Dejan Aleksandric3Mladen Milanovic4Dunja Savicevic5Slavisa Zagorac6Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, SerbiaClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute for Orthopedic Surgery “Banjica”, 11000 Belgrade, SerbiaClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, SerbiaSpecial Hospital for Rehabilitation and Orthopedic Prosthetics, 11000 Belgrade, SerbiaClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, SerbiaBilateral asymmetrical hip dislocations are rare, occurring in only 0.01–0.02% of all joint dislocations, typically following high-energy trauma. We present a 22-year-old male involved in a high-speed motor vehicle collision, sustaining a right posterior hip dislocation with an associated posterior wall acetabular fracture and a left obturator-type anterior dislocation. He underwent successful closed reduction within two hours post-injury, but due to persistent instability of the posterior acetabular wall fracture, open reduction and internal fixation (ORIF) via a Kocher–Langenbeck approach was performed. A structured rehabilitation protocol facilitated full functional recovery at six months, with no evidence of avascular necrosis (AVN) or post-traumatic osteoarthritis. A literature review of relevant studies highlights the importance of early reduction (<6 h) to reduce AVN risk, timely surgical stabilization for acetabular fractures, and individualized rehabilitation strategies. While our case supports established treatment guidelines, long-term outcomes and optimal rehabilitation protocols remain areas for further research. Expedited diagnosis, early intervention, and evidence-based management are essential in achieving favorable outcomes for these complex injuries.https://www.mdpi.com/2075-1729/15/4/532bilateral hip dislocationasymmetrical hip dislocationacetabular fractureorthopedic traumaavascular necrosispost-traumatic osteoarthritis |
| spellingShingle | Jovana Grupkovic Uros Dabetic Nikola Bogosavljevic Dejan Aleksandric Mladen Milanovic Dunja Savicevic Slavisa Zagorac Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence Life bilateral hip dislocation asymmetrical hip dislocation acetabular fracture orthopedic trauma avascular necrosis post-traumatic osteoarthritis |
| title | Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence |
| title_full | Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence |
| title_fullStr | Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence |
| title_full_unstemmed | Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence |
| title_short | Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence |
| title_sort | traumatic bilateral asymmetrical hip dislocation with acetabular fracture a case report and review of current evidence |
| topic | bilateral hip dislocation asymmetrical hip dislocation acetabular fracture orthopedic trauma avascular necrosis post-traumatic osteoarthritis |
| url | https://www.mdpi.com/2075-1729/15/4/532 |
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