Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature
Introduction: Co-occurrence of ipsilateral hip, knee, and ankle fracture-dislocation is a rare condition demanding heightened urgency, constituting an emergency warranting immediate attention and utmost care. Delineating the management of such injury is required so that satisfactory functional outco...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-08-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/08/01/triple-traumatic-fracture-dislocation-a-rare-case-of-simultaneous-ipsilateral-hip-knee-and-ankle-fracture-dislocation-with-a-review-of-the-literature/ |
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| author | Laxman Choudhary Bharat Kumar Soni Aakarsh Aggarwal Kuldeep Rathor Sumit Banerjee Abhay Elhence |
| author_facet | Laxman Choudhary Bharat Kumar Soni Aakarsh Aggarwal Kuldeep Rathor Sumit Banerjee Abhay Elhence |
| author_sort | Laxman Choudhary |
| collection | DOAJ |
| description | Introduction:
Co-occurrence of ipsilateral hip, knee, and ankle fracture-dislocation is a rare condition demanding heightened urgency, constituting an emergency warranting immediate attention and utmost care. Delineating the management of such injury is required so that satisfactory functional outcomes can be achieved in this uncommon injury.
Case Report:
A 41-year-old male was alleged to have sustained a road traffic accident, following which he presented to the emergency department of a tertiary care center with pain over the left hip, knee, and ankle joints, and deformity of the same limb. He was evaluated and diagnosed with ipsilateral hip fracture-dislocation, knee fracture-dislocation, and bimalleolar ankle fracture with ankle subluxation. He underwent open reduction internal fixation (ORIF) with raft plate (7H) for the proximal tibia fracture and two Herbert screws for the tibial spine fracture for fixing the knee fracture-dislocation. ORIF with 2 CC screw for medial malleolus and ORIF with 1 CC screw for lateral malleolus was done to fix ankle fracture subluxation. No surgical intervention was required for hip fracture-dislocation.
Conclusion:
Simultaneous ipsilateral hip, knee, and ankle fracture-dislocation is a rare condition that should be approached as a limb-threatening orthopedic emergency. We report this case for its rarity and to document that good results can be achieved with early appropriate care. |
| format | Article |
| id | doaj-art-0835fbe95eaa48c3a41efec10a22b6f2 |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-0835fbe95eaa48c3a41efec10a22b6f22025-08-20T04:01:02ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-08-01158111710.13107/jocr.2025.v15.i08.5866Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the LiteratureLaxman ChoudharyBharat Kumar SoniAakarsh AggarwalKuldeep RathorSumit BanerjeeAbhay ElhenceIntroduction: Co-occurrence of ipsilateral hip, knee, and ankle fracture-dislocation is a rare condition demanding heightened urgency, constituting an emergency warranting immediate attention and utmost care. Delineating the management of such injury is required so that satisfactory functional outcomes can be achieved in this uncommon injury. Case Report: A 41-year-old male was alleged to have sustained a road traffic accident, following which he presented to the emergency department of a tertiary care center with pain over the left hip, knee, and ankle joints, and deformity of the same limb. He was evaluated and diagnosed with ipsilateral hip fracture-dislocation, knee fracture-dislocation, and bimalleolar ankle fracture with ankle subluxation. He underwent open reduction internal fixation (ORIF) with raft plate (7H) for the proximal tibia fracture and two Herbert screws for the tibial spine fracture for fixing the knee fracture-dislocation. ORIF with 2 CC screw for medial malleolus and ORIF with 1 CC screw for lateral malleolus was done to fix ankle fracture subluxation. No surgical intervention was required for hip fracture-dislocation. Conclusion: Simultaneous ipsilateral hip, knee, and ankle fracture-dislocation is a rare condition that should be approached as a limb-threatening orthopedic emergency. We report this case for its rarity and to document that good results can be achieved with early appropriate care.https://jocr.co.in/wp/2025/08/01/triple-traumatic-fracture-dislocation-a-rare-case-of-simultaneous-ipsilateral-hip-knee-and-ankle-fracture-dislocation-with-a-review-of-the-literature/hip fracture dislocationknee fracture dislocationankle fracture dislocationipsilateral limb injurieshigh energy trauma |
| spellingShingle | Laxman Choudhary Bharat Kumar Soni Aakarsh Aggarwal Kuldeep Rathor Sumit Banerjee Abhay Elhence Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature Journal of Orthopaedic Case Reports hip fracture dislocation knee fracture dislocation ankle fracture dislocation ipsilateral limb injuries high energy trauma |
| title | Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature |
| title_full | Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature |
| title_fullStr | Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature |
| title_full_unstemmed | Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature |
| title_short | Triple Traumatic Fracture-Dislocation: A Rare Case of Simultaneous Ipsilateral Hip, Knee, and Ankle Fracture-Dislocation with a Review of the Literature |
| title_sort | triple traumatic fracture dislocation a rare case of simultaneous ipsilateral hip knee and ankle fracture dislocation with a review of the literature |
| topic | hip fracture dislocation knee fracture dislocation ankle fracture dislocation ipsilateral limb injuries high energy trauma |
| url | https://jocr.co.in/wp/2025/08/01/triple-traumatic-fracture-dislocation-a-rare-case-of-simultaneous-ipsilateral-hip-knee-and-ankle-fracture-dislocation-with-a-review-of-the-literature/ |
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