Traumatic dislocation and fracture-dislocation of the hip is an absolute orthopedic emergency. Early recognition and prompt, stable reduction is the essence of successful management.
Four cases of traumatic dislocation and fracture-dislocation of the hip were treated during 1999-2001. The patients ranged in age from 22 to 66 years, and were followed for a mean period of 1.6 years after surgery. Traumatic dislocation and fracture-dislocation of the hip were classified according to the Thompson & Epstein classification; 1 in Type I, 0 in Type II, 1 in Type III, and 2 in Type IV. Three patients were treated with open reduction within six hours.-One patient was treated with closed reduction within six hours and internal fixation two days after injury.
JOA hip score and Thompson & Epstein classification were used for clinical assessment. Thompson & Epstein classification were one Excellent, two Good and one Poor. One patient (Type IV) developed posttraumatic osteoarthritis.