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Updated: Nov 17, 2025

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
Ipsilateral Posterior Hip Dislocation and Femur Shaft Fracture - A Rare Presentation
Noama Iftekhar1, Talha Rasool2, Vladislav Pavlovich Zhitny3
1Stritch School of Medicine, Loyola University of Chicago, Maywood, Illinois, USA.
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.

