Traumatic asymmetrical bilateral hip dislocation:A rare case report

Abstract

Traumatic bilateral hip dislocation is a rare phenomenon.Simultaneous traumatic asymmetrical bilateral hip dislocation iseven more unusual. There is no report in the literature regardingthe mechanism of injury in tramcar squeezing. A 49-year-oldmale who had a serious tramcar accident and developedasymmetric bilateral hip dislocations (left posterior, rightanterior) combined with fracture of left acetabulum and multipleinjuries was admitted. Right hip dislocation was treated withmanual reduction. Left hip dislocation, fracture of acetabulumand bilateral pubis, and open wound of left thigh were treatedwith open reduction and internal fixation. In conclusion, hipdislocation should be performed with manual reduction within6 h. If manual reduction fails, open reduction and even internalfixation can be performed to prevent complications, such asavascular necrosis of the femoral and heterotopic ossification.