• Femoral head fractures
• Rare pathology
• Most arising with high energy traumas and with dislocation of joint
• Gravely compromise the ultimate functional outcome

Case Report

• A 23-year-old male had high velocity trauma (motorcycle-motorcycle collision).
• Right lower limb injury and he had

1. Fracture of the Femoral head

2. Comminuted fracture Shaft of mid Femur

3. Fracture of lower pole Patella

4. PCL avulsion with subluxation of knee joint

5. Fracture talus and fracture calcaneus

Femoral head was approached by the method of safe surgical dislocation of the hip

Intraoperative comminuted fracture of femoral head (Modified Pipkins type A-V) with avulsion of cartilage was found

Fixation with multiple Herberts screws

Repair of avulsed cartilage

Follow up At 3months

MRI at 9month follow Up