Late presentation of Femoral head fracture treated with Herbert screws by safe surgical dislocation - A case report

INTRODUCTION - Femoral head fractures are rare injuries requiring special attention mainly because of its poor functional outcome. Though several cases have been published there is no firm conclusion regarding optimal treatment. Controversy exists regarding the preferred surgical approach and whether fragments should be internally fixed or simply excised. Also delayed presentation of femoral head fracture is a controversy whether to fix the femoral head or do replacement. CASE REPORT We report a case of fracture of femoral head in a 29 year old male who presented 3 months after the injury fixed with Herbert screws through a trochanteric flip osteotomy approach and safe surgical dislocation. CONCLUSION Fixation of the femoral head fracture should always be considered even in the late presenting cases without going for replacement. This has fairly good outcome and helps in delaying the replacement surgery. To our knowledge no such delayed presentation of femoral head fracture which is fixed is reported before.