RESUMEN
INTRODUCTION AND IMPORTANCE: Chronic traumatic posterior dislocation of the hip is one of the uncommon conditions that surgeons in developing countries have to treat due to continued unvetted patronage of traditional bone setters by patients. It usually treatment challenges due to limitation in option available because resource constraints. CASE PRESENTATION: We present the case of 42-year-old male patient who presented to our hospital one and half years after sustaining road traffic accident. He had initial failed treatment with the traditional bone setters that left him with persistent right hip pain, limp, shortening and limitation of movement. He had initial heavy skeletal traction before an uneventful right bipolar hemiarthroplasty was done. His Harris hip score improved from 40.6 (preoperative) to 90.4 (postoperative). CLINICAL DISCUSSION: Chronic posterior dislocation is a rarity in developed countries but is gradually becoming a common occurrence in developing countries. While total hip replacement is advocated in developed countries this may not be readily available due to financial constraints, poor access to the hospital, and fewer Orthopaedic surgeons to population ratios. This makes bipolar hemiarthroplasty used in this a readily available option that yielded a comparatively good outcome. CONCLUSION: We propose that bipolar hemiarthroplasty is viable alternative to total Hip replacement in chronic posterior hip dislocation in resource limited environment where access to this procedure may not be easily available.