A 23-year-old male sustained injury over the right lower limb as a result of high-velocity trauma (motorcycle-motorcycle collision). The patient suffered from severe pain, a deformity at mid-thigh and knee, and functional disability of the right leg along with wound over calf and ankle region (Gustilo-Anderson 3b). Radiographs done after primary resuscitation as per the standard protocol of advanced trauma life support. Radiographs revealed a fracture at the femoral head (), comminuted fracture Shaft of the mid femur, fracture of lower pole patella, posterior cruciate ligament avulsion with subluxation of the knee joint (), fracture talus, and fracture calcaneus (). There was no dislocation of the hip. Emergent ankle debridement was performed with stabilization of knee by upper tibial pin traction. A computed tomography scan of the right hip joint was done, which was suggestive of the femoral head fracture without dislocation or acetabular fracture (). Femoral head fixation was performed after the fixation of fracture shaft femur by safe surgical dislocation of the hip approach. Intraoperative comminuted fracture of the femoral head(modified Pipkins type A-V) with avulsion of cartilage was found [] (). The femoral head was approached by the method of safe surgical dislocation of the hip and fixation done with Herbert screws ().