DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.070

Pages: 2483-2486

Background: Posterior fracture-dislocation of the femoral head is an uncommon but severe injury that typically results from high-energy trauma such as motor vehicle collisions or falls from height. Early recognition and appropriate management are essential to prevent long-term complications, notably post-traumatic osteoarthritis and avascular necrosis (AVN) of the femoral head. Case Presentation: We report the case of a 47-year-old male who sustained a right posterior fracture-dislocation of the femoral head (Pipkin Type II) following a road traffic accident. Closed reduction under general anesthesia failed, necessitating open reduction and internal fixation via a posterior Moore approach. The patient achieved a satisfactory functional outcome without major complications at two years’ follow-up. Conclusion: Early diagnosis, precise imaging, and timely surgical intervention are critical for optimizing outcomes in femoral head fracture-dislocations. Open reduction and fixation remain the treatment of choice in irreducible cases