Management of Traumatic Posterior Dislocation of Hip with Fracture Head of Femur

ABSTRACT

Traumatic dislocation of hip is a rare injury that occurs due to high energy trauma. Fracture head of femur associated with dislocation of hip occurs is even rarer. Some surgeons recommend conservative treatment, while others recommend surgery. The purpose of this study was to evaluate the method of treatment and outcomes of femoral head fractures. Methods: This study was conducted between 2006-2018 & included 4 patients who presented to the department and were diagnosed with posterior dislocation of hip with fracture of head of femur with a minimum followup of 12 months. Results: All the four cases that presented to the hospital were managed by closed reduction of the hip on the same day & were managed surgically the very next day. Three of four patients presented with clinically & radiologically excellent results on followup. Conclusion: Traumatic dislocation of hip with fractures of the femoral head are rare. Patients can be surgically managed by either excision of fragments or fixation using headless screws. Avascular necrosis and post traumatic degenerative disease of the hip occur but are relatively uncommon