Ipsilateral Posterior Hip Dislocation and Femur Shaft Fracture – A Rare Presentation

INTRODUCTION: Posterior hip dislocation with an ipsilateral femur fracture is a rare injury – unfortunately, due to high-speed crashes, these complex injuries are increasing in nature. CASE PRESENTATION: This case report examines a 24-year-old male who was involved in a high-speed motorcycle accident. X-ray imaging after clinical suspicion exhibited a posterior hip. dislocation and ipsilateral femoral shaft fractures. Following unsuccessful reduction, the patient was treated under general anesthesia with a temporary external fixator followed by intramedullary nailing of the shaft. CONCLUSION: Hip dislocation is a traumatic injury and an emergency. Although the treatment of a posterior hip dislocation can prove difficult in the context of an ipsilateral fracture, a closed reduction with intermedullary nailing can prove difficult and might require a Schanz screw of external fixation for the purposes of leverage and reduction.