title: Treatment of a femoral shaft fracture in a patient with congenital hip disease: a case report.
abstract: BACKGROUND
  We present a rare case of two concomitant morbidities treated in one operation. To our knowledge, this is the first report of its kind in the literature.
  
  
  METHODS
  A 57-year-old Greek woman was admitted to the emergency department having sustained a spiral mid-shaft femoral fracture. She also suffered from an ipsilateral hip congenital dysplasia with ankylosed hip joint due to severe arthritis. She was treated with a total hip arthroplasty using a long stem performing as an intramedullary nail.
  
  
  CONCLUSIONS
  We undertook a complex operative treatment of both co-morbidities in a one stage procedure with a satisfactory clinical result.
authors.affiliation: 4th Orthopaedic Department, KAT Hospital, 2 Nikis str, 145 61 Kifissia, Athens, Greece. skoutsostathis@gmail.com.
authors.forename: George A
authors.initials: GA
authors.lastname: Tsakotos
authors.forename: Stefanos D
authors.initials: SD
authors.lastname: Koutsostathis
authors.forename: George A
authors.initials: GA
authors.lastname: Macheras