Hanke MS, et al. - Given the variation in severity of femoral head impaction defects and the possible influence of compression of the articular cartilage and the subchondral bone into the femoral head resulting in irregular articular on the outcome with a predisposition to osteoarthritis, and its value of being predictive for the necessity for delayed total hip replacement, researchers here investigated a consecutive series treated with transfer of osteochondral shell autografts in hips (TOSAH) from the head-neck junction into the defect using surgical hip dislocation for the outcome after a minimum follow-up of 5 years. From June 2007 to March 2014, a series of twelve consecutive patients sustained a traumatic posterior hip dislocation in combination with acetabular and/or Pipkin fractures; mean age: 35yrs, range 18–53; median Injury Severity Score: 12, range 9–27. These cases were inter alia treated using TOSAH using surgical hip dislocation. The mean follow-up period was 6.9 years (5.0–11.6). Survivorship of 57.1% was reported at a 5-year follow-up. Outcomes support the possible utility of the presented technique as a salvage procedure for severely injured hip joints and for preserving the hip joint at midterm with satisfying clinical and radiological outcomes.