Recognition of the dislocation in cases of combined dislocation of the hip and fracture of the femoral shaft is the most important factor in the prognosis and treatment of this injury.
If the dislocation is recognized prognosis for the injury is good.
The prognosis for patients in whom dislocation of the hip has remained unrecognized for a prolonged period has been poor. The authors suggest shortening of the femoral shaft as part of the treatment in such cases.
In fractures of the femur, a dislocation of the hip should be suspected if the proximal fragment is adducted or if medial angulation persists at the fracture site in spite of traction.