[Neglected hip dislocation fractures (author's transl)].

Follow-up of 30 patients with hip dislocation fractures showed avascular necroses in more than 30% of the cases and/or arthrotic changes and dissatisfying clinical results. In our opinion there is no sense in trying to reconstruct the joint by surgical procedures especially in elderly patients in cases with combined fractures, concomitant comminuted fractures of the femoral head and neck or destruction of the acetabulum. In all these cases we recommend a total hip prosthesis (elderly people) or in younger patients an arthrodesis immediately after the accident.