Work

Traumatic Bilateral Asymmetric Hip Dislocation With a Rotated Pipkin Type II Femoral Head Fracture

Year: 2026

Type: article

Abstract: Bilateral asymmetric hip dislocation is a rare injury with a complex mechanism, and treatment of delayed cases is difficult with unpredictable outcomes. We report a case of a 25-year-old man with bilateral asymmetric hip joint dislocation (right anterior, left posterior) and a Pipkin type II left femoral head fracture. His dislocations were reduced under sedation within 4 hours of the accident, but the surgical fixation of his fracture was delayed for 4 days. Hip dislocation should be reduced within 6 hours of injury. Postreduction CT in high-energy trauma is especially crucial for detecting associated fractures. If closed reduction fails, then open reduction should be conducted to prevent complications such as osteonecrosis, heterotopic ossification, and osteoarthritis.

Source: JAAOS Global Research and Reviews

DOI: 10.5435/jaaosglobal-d-25-00128

Authors: Taif Al-Jafar, Abdulazeez Ismail, Ali Al-Hilli

Institution: University of Baghdad

Language: English

Topic: Pelvic and Acetabular Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,650