Anterior Dislocation with Inter Trochanteric Fracture with Review of Literature

Dislocations of the hip usually occur following high energy trauma, the coxo-femoral joint being inherently stable,and can be associated with acetabular fractures or fractures of the head, neck or shaft of femur. However, thecombination between the anterior hip dislocation and the ipsilateral intertrochanteric fracture is extremely rare.We present the case of a patient, aged 71, victim of a trauma by fall from height, with complaints of pain overright groin area associated with swelling and restriction of movements. The patient was unable to bear weightsince the fall. Later on further investigation, he was diagnosed with right hip anterior dislocation along withintertrochanteric fracture of the ipsilateral femur. Under general anaesthesia, the hip dislocation was reduced andthe intertrochanteric fracture was internally fixed with a dynamic hip screw. Radiological and functionalevaluation was done at 4 months after surgery, using the modified Merle D’Aubigne hip score showed good result.The clinical outcome of such a case depends on the quick evaluation and treatment. Providing a stable reductionof the dislocation and a stable internal fixation of the fracture as soon as possible (within the first 6 hours) willallow an early physical rehabilitation and decrease the risk of complications.