Total Axial Fracture Prepatellar Fracture Number Force’ of the Soft Tissue of of Injuries Tibia Injury Pateila Cases

When fracture of the femoral shaft and dislocation of the hip occur in the same limb the dislocation is often missed. In this paper we offer a way to avoid this diagnostic pitfall. It has been estimated that combined femoral shaft fracture and hip dislocation occur once in every 100,000 cases of fracture (Wiltberger, Mitchell and Hedrick 1948). In a century and a half a total of eighty-one such injuries have been reported. Since Sir Astley Cooper described the first in 1 823, isolated cases and small series have been recorded (Bainbrigge 1846; Fergusson 1852; Malgaigne 1855; Delagarde 1866; Murdoch 1878; Kammerer 1 889 ; Wiltberger, Mitchell and Hedrick 1 948 ; Detzel 1953 ; Mau 1953 ; Zarotti and Albertini 1953; Verbr#{252}gge 1955; BUrkle de Ia Camp and Rostock 1956; Trojan and Perschl 1956; Merle d’Aubign#{233} and Lord 1957; Padovani 1957; Cataneo 1958; Salem 1961; Sch#{246}nbauer 1961 ; Wadsworth 1961 ; Nikolai 1962). There have been two major reviews of the subject, the first by Henry and Bayumi in 1934 and the other by Dehne and Immermann in 1951. We have seen two patients with this combined injury and have collected the records of a further twelve unpublished cases. Table I summarises the available relevant information on these patients.