Good et al. Journal of Medical Case Reports 2011, 5:505 http://www.jmedicalcasereports.com/content/5/1/505 Page 2 of 4 Figure 1 Fracture-dislocation of right hip (Case 1). uneventful recovery and was discharged on the third postoperative day. He remained non-weight bearing on his right leg with crutches for six weeks, with subse- quent progression to full weight bearing. On review six months after the operation, there was union demon- strated on X-ray. Our patient was pain free, fully weight bearing and undergoing light training. He will be kept under long-term review. Case 2 This patient was a 24-year-old Caucasian man, weigh- ing 105 kg (BMI = 26), playing amateur rugby at a high standard. During open play, whilst running, he was tackled from his left side causing him to stumble to his right. With his right leg planted he was tackled by another player from his left causing him to land on his flexed right knee. He felt immediate pain and was unable to bear weight. He was taken to his local hospital where imaging of his pelvis showed a com- minuted posterior wall-posterior column right acetab- ular fracture (Figure 3). He went on to have a CT scan of his pelvis which confirmed the plain film find- ings and also demonstrated marginal impaction of his Figure 3 Comminuted fracture of right acetabulum (Case 2). articular surface, a recognized poor prognostic indica- tor. He was transferred to our institution for defini- tive management and underwent open reduction and internal fixation through a posterior Kocher-Langen- bach approach (Figure 4). His articular surface was elevated and supported with a local bone graft from his greater trochanter. His postoperative recovery was uneventful and he was discharged on the third post- operative day. He remained non-weight bearing on his right leg with crutches for six weeks, with subse- quent progression to full weight bearing. Six months postoperatively, our patient was doing well, fully weight bearing, doing light gym work and showed union on X-ray. He will be kept under long-term review. Figure 2 Postoperative X-ray (Case 1). Figure 4 Postoperative X-ray (Case 2).