High velocity motor vehicle accidents are major culprit leading to traumatic hip dislocations. We report a case of a 35 year old man who sustained posterior hip dislocation with posterior wall acetabular fracture and ipsilateral fracture neck femur following an autorickshaw accident. Prompt open reduction and internal fixation of the hip fracture–dislocation and fixation of fracture neck femur with a dynamic hip screw and posterior acetabular wall with reconstruction plate and screws were performed. Being a rare injury and reported infrequently in literature, treatment becomes quite challenging for orthopaedic surgeons. On 3 months follow up, patient shows radiological union and was able to walk with support. There were no major complications observed.