Bilateral traumatic hip dislocation is rarely seen. A unique case is presented, consisting of asymmetric bilateral hip dislocation with associated segmental fracture femur, resulting from fall from bus. This case represents an unusual, severe combination of injuries resulting from the fall from bus under influence of alcohol. Traumatic hip dislocation represents a true orthopaedic emergency. Given the severity of associated complications, every effort should be made to ensure prompt diagnosis and immediate therapy. We report our experience in the management of this complex injury pattern and review the pertinent literature on this subject.

Materials and Methods:The study includes patients with femoral shaft fractures admitted and examined according to protocol. Associated injuries were noted. Clinical and radiological investigations were carried out and medical fitness for surgery to undergo flexible nailing fixation for the sustained fracture was taken. Patients were followed up at 1,2,3,6 months intervals till fracture union and once at 1 year after surgery. A minimum of 20 cases were studied without any sampling procedure.