[Hip dislocation with ipsilateral femoral shaft fracture.]

Dislocation of the hip with fracture of the ipsilateral shaft of femur occurs very rarely. Authors report three cases of this combined injury. The most frequent problems concerning this injury such as difficult reduction of the hip dislocation, delayed diagnosis and treatment of the hip dislocation, avascular necrosis of the head of the femur, sciatic nerve palsy, simultaneous fracture of the acetabulum and the head of the femur are discussed. Early closed reduction of the hip joint is difficult because the long lever of the femoral shaft and classical methods of reduction cannot be used. Diagnosis, methods of the reduction and following treatment are outlined. Key words: hip dislocation, femoral shaft fracture.