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 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.