PDF(Pubmed)
Abstract：
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.
摘要：
同侧髋和膝关节脱位是一种罕见且复杂的损伤，通常由高能创伤引起。到目前为止，文献中仅报道了14例。我们报告了一名35岁男子在发生道路交通事故后出现同侧右髋和膝关节脱位的情况。与对侧浮动膝盖相关。髋关节脱位与髋臼后壁骨折和股骨头骨折有关。膝关节脱位是复合的，并伴有髌骨骨折。髋关节脱位减少。后壁和股骨头骨折保守治疗。膝关节脱位通过外固定器减少并稳定。术后早期发生感染，手术治疗。在最后一次随访中，在股骨髁和胫骨平台之间有一个骨桥，膝盖屈曲5°。患者描述了运动时偶尔的髋部疼痛。他的右髋部活动范围很广。未见股骨头缺血性坏死。髋关节和膝关节同时脱位的结果变化很大，并且仍然不可预测。减少髋关节和膝盖的时机。
