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Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

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Page 1: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

Bilateral Traumatic Hip Dislocation

March,2005

Dr Abdollah Mousavi Orthopeadic Surgeon

Asia Hospital Tehran/Iran

Page 2: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

History

• 32 year old Lady• Pedestrian crossing the street, Car Accident• Refers to Asia Hospital Tehran/Iran• Primary X-ray had bilateral traumatic hip

dislocation• Lt Posterior Dislocation , Rt hip Anterior

Dislocation• Neurovascular was intact.• Evaluation of chest and abdomen Normal

Page 3: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

Primary X-rays

Page 4: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran
Page 5: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran
Page 6: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

Operation Details

• First stage in supine position reduced left hip• Second stage reduced right hip done by traction

and reduction• Check x-ray done• Reduction was complete no fracture in acetabulum

and head of femur• Pin for skeletal traction applied in proximal of

tibia

Page 7: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

Post Operation X-ray

Page 8: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran
Page 9: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran
Page 10: Bilateral Traumatic Hip Dislocation March,2005 Dr Abdollah Mousavi Orthopeadic Surgeon Asia Hospital Tehran/Iran

Conclusion

• Rare case of bilateral traumatic hip dislocation was in article review

• No reported Pedestrian Accident with bilateral traumatic hip dislocation

• Most cases reported have been car driver or passenger cases

• Final evaluation no AVN in Lt hip and full ROM in Rt hip. Excellent result achieved

• Patient is in good condition