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Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture   
Yazarlar
Doç. Dr. Hacı Mehmet ÇALIŞKAN Doç. Dr. Hacı Mehmet ÇALIŞKAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Ömer Jaradat
Kırşehir Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi Mehmet YETİŞ Dr. Öğr. Üyesi Mehmet YETİŞ
Kırşehir Ahi Evran Üniversitesi, Türkiye
Zafer Ünveren
Burak Çelik
Serdar Süha Dönmez
Türkiye
Özet
Introduction: Hip dislocations are extremely rare, but they are orthopedic emergencies that need to be immediately intervened. Traumatic hip dislocations are usually unilateral and occur toward the posterior region. Bilateral traumatic hip dislocations, on the other hand, are rarer. Asymmetric occurrence of bilateral traumatic hip dislocations is even rarer. The possibility of spontaneous hip dislocation in a healthy person is very unlikely. This is because ligaments wrapping the hip joint make it quite stable. Thus, hip dislocation usually occurs due to a high-energy trauma.
Case Report: In this paper we report a unique female patient with asymmetric bilateral traumatic hip dislocation accompanied by a segmental fracture of the femur due to a traffic accident. The patient's right hip was reduced under sedoanalgesia at the emergency department and the left hip was reduced under anesthesia at operating room. Avascular necrosis did not develop at her 2-year follow-up; however, she has been re-operated after developing nonunion in the left femoral segmental fracture.
Conclusion: In conclusion, hip dislocations should be treated in first six hours due to the risk of avascular necrosis. Uncomplicated hip dislocations without accompanied fractures can be treated with sedoanalgesia in emergency service settings. However hip dislocations which are complicated with accompanied fractures should be reduced in operation rooms without delay.
Anahtar Kelimeler
Asymmetric | bilateral | hip dislocation | segmental fracture | traffic accident
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü ESCI dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı JOURNAL OF EMERGENCY MEDICINE CASE REPORTS
Dergi ISSN 2149-9934
Dergi Tarandığı Indeksler ESCI
Makale Dili İngilizce
Basım Tarihi 12-2021
Cilt No 12
Sayı 4
Sayfalar 117 / 120
Doi Numarası 10.33706/jemcr.966370
Makale Linki https://dergipark.org.tr/tr/download/article-file/1868488
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture

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