An Unusual Combination of Subtrochanteric Fracture Associated with Ipsilateral Posterior Dislocation of Hip: A Case Report

Abstract

Background: A unique fracture pattern involving subtrochanteric fracture associated with ipsilateral posterior dislocation of hip in a young adult male eventually having a functional hip at six year follow up following aggressive management is described. Case presentation: We present a case of a 40 year old male labourer from Central India who was admitted in our hospital within hours of a road accident he sustained in Feb 2012. Early reduction and osteosynthesis, supervised physiotherapy, and routine follow-up all contributed to the patient having an acceptable functioning hip at the six-year follow-up. Conclusion: The result at six year follow up showed complete union of fracture without any radiological signs of avascular necrosis of the femoral head which highlights the importance of team work in the management of the complex injury.