Traumatic posterior fracture-dislocation of the hip with fracture of the femoral head or neck, or both.

Femoral head fractures

“…In our patients, the average age was lower than the patients treated by Weigand et al [24] and Hougaard et al [10], but similar to those of Epstein et al [4].…”

“…Local avascular necrosis developed in patient 1 possibly because the fragment was detached from the ligamentum teres and delivered out of the joint. However, this did not influence the overall result as also found by Hougaard and Thomsen [10] and Treacy and Grigoris [21].…”

Fractures of the femoral head: what are the reasons for poor outcome?

“…Excision of the fragment was recommended by Epstein [6,7,29] in the 1970s, however, maintaining joint congruity is a prerequisite for a good outcome, which is reinforced by more recent studies. [5,8,24,25] We believe that the poor outcome of these patients is mostly due to major complications. These complications included AVN of the femoral head (0-24%), posttraumatic osteoarthritis (0-72%), peripheral nerve damage (7-27%).…”

“…However, good or excellent results are achieved in only 50% of cases after excision of the fragments. [8,9,[11][12][13][22][23][24][25][26][27] Over the past decades, rates of excellent or good results of 40-70% have been published in the literature. [8,[22][23][24][28][29][30][31] Our rate of excellent and good results was 50%, which was similar to the literature.…”

Posterior Hip Dislocation with Ipsilateral Femoral Neck Fracture: Case Report

“…Although about 30 cases of hip dislocation associated with a femoral neck fracture have been described (3,(14)(15)(16), many of these cases have associated fractures of the pelvis, acetabulum and the femoral head. We found only two cases in English literature that had an intact acetabulum and femoral head (Table 1) …”