ANTERIOR OPEN TRAUMATIC DISLOCATION OF THE HIP IN A CHILD - (A CASE-REPORT AND REVIEW OF THE LITERATURE)

Introduction Anterior open traumatic dislocation of the hip in children is rare. Materials and methods We report the case of a child aged 9 years, who presented following a motor vehicle accident an anterior open dislocation of the left hip associated with a fracture separation of the trochanter, a fracture of the homolateral humerus and a fracture of the contralateral femur. He was treated by open reduction of the dislocation and pinning of the various fractures. Results After 15 months functional result of the hip was good. The radiograms showed early signs of necrosis of the femoral head. Discussion The treatment consisted of emergency reduction of the dislocation. Despite this treatment, a review of the literature showed that necrosis of the femoral head is stilt frequent. Conclusion Anterior open dislocation of the hip is a severe disease in the child and its prognosis becomes severe with the opening and the association with a fracture.