Triple blow injury to a limb: Ipsilateral hip and knee dislocation with vascular occlusion

Jain, Mantu; Sathia, Siddhartha; Mahapatra, Rudra Pratap; Swaroop, Shakti; Doki, Sunil

doi:10.4103/jets.jets_25_20

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…Eight of the 14 reported patients, 1 , 6 , 8 , 14 – 17 including the present case, had associated injuries. Some of these injuries can be serious such as chest trauma, ipsilateral femoral shaft fracture, or contralateral floating knee as our case.…”

Section: Discussionmentioning

confidence: 61%

“…Three of the 14 patients (21.5%) had popliteal artery injury. 1 , 11 , 16 Arterial repair was successful only in one case 16 ; however, the remaining two patients ended up with limb amputations. 1 , 11 Four patients including our case had common peroneal nerve fallout.…”

Section: Discussionmentioning

confidence: 99%

“… 1 , 11 , 16 Arterial repair was successful only in one case 16 ; however, the remaining two patients ended up with limb amputations. 1 , 11 Four patients including our case had common peroneal nerve fallout. 2 , 7 , 12 Three patients ultimately recovered, but in our case recovery was only partial.…”

Section: Discussionmentioning

confidence: 99%

“…However, simultaneous ipsilateral dislocation of both joints is an unusual injury denoting the severity of the trauma. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

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A rare concomitant ipsilateral hip and knee dislocations: A case report and review of the literature

Jlidi,

Bouaicha,

Mallek

et al. 2024

SAGE Open Medical Case Reports

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Ipsilateral hip and knee dislocation is a rare and complex injury that usually results from high-energy trauma. Only 14 cases were reported in the literature so far. We report the case of a 35-year-old man who presented with an ipsilateral right hip and knee dislocation after being involved in a road traffic accident. A contralateral floating knee was associated. The hip dislocation was associated to a posterior wall fracture of the acetabulum and a femoral head fracture. The knee dislocation was compound and associated with a patella fracture. The hip dislocation was reduced. The posterior wall and the femoral head fractures were treated conservatively. The knee dislocation was reduced and stabilized by external fixator. Early postoperative infection occurred and was treated surgically. At the last follow-up, the knee was ankylosed at 5° of flexion with a bony bridge between the femoral condyle and the tibial plateau. The patient described an occasional hip pain on exertion. He had full range of motion of the right hip. No avascular necrosis of the femoral head was seen. Outcomes of simultaneous hip and knee dislocation are very variable and remain unpredictable. The timing of reducing the hip joint and the knee.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…However, simultaneous ipsilateral dislocation of both joints is an unusual injury denoting the severity of the trauma. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A rare concomitant ipsilateral hip and knee dislocations: A case report and review of the literature

Jlidi,

Bouaicha,

Mallek

et al. 2024

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

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“…Most cases can be treated with closed reduction; however, open reduction may be indicated most commonly in cases involving vascular injury, compartment syndrome, adjacent fracture, nonconcentric reduction, or irreducible dislocation 1,2,[4][5][6][7] . Simultaneous ipsilateral hip and knee dislocations, and isolated inferior dislocation of the hip (luxatio erecta femoris), are both rare injuries that present an increased risk for complications [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] . A review of the world literature identified only 19 previous cases of simultaneous ipsilateral hip and knee dislocations, only 3 of which involved luxatio erecta femoris, but none in which the femoral head was incarcerated.…”

mentioning

confidence: 99%

Traumatic Bifocal Luxatio Erecta Femoris and Ipsilateral Posterior Knee Dislocation

Laroque

Zeni

Cole

2023

JBJS Case Connector

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Case:A 19-year-old man sustained combined, ipsilateral inferior hip and posterior knee fracture-dislocations secondary to a motor vehicle collision. He underwent immediate closed reduction of the knee and delayed open reduction internal fixation but required emergent open hip reduction for an irreducible femoral head incarcerated on a pubic root fracture. At the 1-year follow-up, he demonstrated excellent functional outcome with painless and full hip and knee range of motion.Conclusion:Irreducible inferior femoral head dislocation in combination with a knee dislocation requires thoughtful staging and treatment but can result in satisfactory outcomes.

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Triple blow injury to a limb: Ipsilateral hip and knee dislocation with vascular occlusion

Cited by 4 publications

References 9 publications

A rare concomitant ipsilateral hip and knee dislocations: A case report and review of the literature

A rare concomitant ipsilateral hip and knee dislocations: A case report and review of the literature

Traumatic Bifocal Luxatio Erecta Femoris and Ipsilateral Posterior Knee Dislocation

Simultaneous ipsilateral hip and knee dislocation: Management and outcome – A case report

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