# Two-stage approach to obturator hip dislocation with subcapital femoral neck fracture: a case report

## TL;DR

A rare case of hip dislocation with femoral neck fracture is treated successfully using a combined surgical approach.

## Contribution

A novel dual-approach single-stage surgical treatment for a rare hip injury is demonstrated.

## Key findings

- The patient was treated with a combined Stoppa and Hardinge approach in one surgery.
- At 24 months, the patient had stable radiographs and a Harris Hip Score of 86.
- Early mobilization and full weight-bearing at two weeks were safely achieved.

## Abstract

Anterior dislocation of the hip associated with an ipsilateral femoral neck fracture is exceedingly rare and typically results from high-energy trauma. We describe the case of a 33-year-old man who was engaged in a car crash and suffered numerous injuries, among them an anterior hip dislocation with the femoral neck trapped in the obturator foramen. The patient was treated in a single surgical procedure using a dual approach: resection of the femoral head through the Stoppa approach and placement of a primary total hip replacement through the Hardinge approach. The procedure was completed without complications, and rehabilitation included early mobilization with full weight-bearing at two weeks. At 24 months, the patient demonstrated preserved muscle strength, stable radiographs without loosening, and a Harris Hip Score of 86. This case highlights a rare injury pattern and supports the use of a dual-approach single-stage procedure as a safe and effective treatment strategy.