Background: Simultaneous traumatic dislocation of both the hips in an individual is an uncommon injury. It accounts for only 1e2% of all traumatic hip dislocations. Simultaneous traumatic dislocation of both the hips in opposite directions i.e., anterior dislocation of one hip and posterior of the other is even rarer. These asymmetric dislocations need prompt identification for appropriate management. While their management should proceed in a manner commensurate with the accepted management of isolated dislocations to avoid complications, it is the timely identification which is essential. Study details: Retrospectively the details of three patients with asymmetric bilateral hip dislocations were collected. The article describes the clinical presentation of each patient and the management offered to them. The follow up duration ranged from 15 months to 24 months. Results: In the short term, the outcomes in terms of hip pain, movements at the hips and radiological parameters like absence of arthritic or avascular changes were found to be satisfactory in each patient. Conclusion: Early diagnosis and prompt reduction is the essential first step in the appropriate management of these patients to prevent the possible complications. The associated fractures must be managed as per the established principles of trauma care. Long term follow up is essential for identifying if complications like avascular necrosis and secondary osteoarthritis develop after this uncommon injury.

Aim and Objectives : To assess the mode , pattern of injury and burden of traumatic patients in emergency department of level 1 trauma center, on a specic festival . This was an epidemiological study conducted on an utta Materials and Methods : rayan festival ( 12 January to 16 January 2023 ) with patient attending in emergency department , Institute of traumatology and Orthopedics, Sawai Man Singh Hospital, Jaipur, Rajasthan . Study group consisted of 670 patients . Inclusion criteria: injured patients of all age groups who were directly associated with festival in form of injury by thread of kite ( cut by manja ) or fall from height while ying kite on festival , attending in emergency department . 602 ( Results & Discussion: 89.85 % ) patients were injured by thread of kite (cut by manja) and 68 (10.15 %) patients were injured due to fall from height while ying kite . Ratio of male : female was 2.9:1, study shows male predominance and maximum patients (39.40 %)were injured in 16-30 years age group. Common mode of injury was cut by manja and belong to green category which were treated in emergency minor OT and discharged. 27 ( 4.02 % ) patients belonged to red category, 9 injured by thread of kite and 18 injured due to fall from height . All 27 patients required admission after primary assessment and 7 needed urgent surgery, (4 patient cut by manja and 3 fall from height) , 2 patient survived and 2 expired ( within 48 hour ) after surgery due to deep neck cut (red category). 11 patients were brought dead . Patients having deep neck cut by thread belong to red and Black category, age of all patients were below the 10 years. Patient with history of fall from height were from all age groups. we can Conclusion: decrease the number of cases in festival epidemic by wearing helmet , tie scarf around neck , avoid child sitting in front of bike rider and creating awareness among population regarding such festive epidemics, one can decrease burden of trauma patients landing up in emergency department .