Six patients are reported with eight fractures of the femoral head associated with dislocation of the same hip. Seven fractures were treated by closed methods. One patient was excluded from analysis. After an average follow-up of 7.0 years (range 1.5 to 12 years) overall results could be classified as excellent in two, good in three and fair in two. These results support our conservative attitude towards the treatment of these fractures. The diagnosis and treatment of this combined injury are discussed and therapeutic guide-lines and recommendations given.

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