PDF(Pubmed)
Abstract：
Bilateral hip dislocations are among the rarest traumatic incidents. We report a case of a 45-year-old, opium-addicted man with bilateral posterior hip dislocation and bilateral femoral head fractures proximal to the fovea with more comminution on the left side. After an unsuccessful closed reduction attempt, surgical reduction and internal fixation of the left and right femoral heads were performed on admission and 72 hours later. He was readmitted because of acute deep vein thrombosis (DVT) on the left side after six weeks and left femoral head avascular necrosis (AVN) after 14 months. All complications occurred on the left side regardless of the sooner intervention in this side compared with the right side. This may imply that the severity of the initial trauma could be a more important risk factor for AVN rather than other factors in case the reduction is delayed for more than six hours.
摘要：
双侧髋关节脱位是最罕见的创伤性事件之一。我们报告了一个45岁的病例,鸦片成瘾男性，双侧髋关节后脱位，中央凹近端双侧股骨头骨折，左侧粉碎性较多。在闭合还原尝试失败后，入院时和72小时后对左右股骨头进行手术复位和内固定。他因6周后左侧急性深静脉血栓形成（DVT）和14个月后左侧股骨头缺血性坏死（AVN）而再次入院。与右侧相比，所有并发症均发生在左侧，而与右侧相比，该一侧的干预时间较早。这可能意味着初始创伤的严重程度可能是AVN的更重要的风险因素，而不是其他因素，如果减少延迟超过6小时。
