Open fractures represent a challenging aspect of modern traumatology with high individual and social impact especially due to septic complications which require prolonged hospitalization, repeated surgery and considerable costs. That is why medical research is directed to establishing the most effi cient diagnostic and therapeutic algorithms able to decrease the incidence of septic complications and promote optimal fracture healing. The purpose of this paper is to underline the importance of early proper surgical debridement for the outcome of these fractures as reflected by the experience of a Level 1 Trauma Centre in order to include this aspect into future therapeutical guidelines.

The combination of posterior femoral head dislocation with ipsilateral intertrochanteric fracture is an extremely rare occurrence, therefore, few reports exist. The posterior femoral head dislocation is an injury most common encountered in road traffic accident (dash-board) and may associate various types of acetabular, femoral head or femoral neck fractures[1-3] but almost never an intertrochanteric fracture. [...]