Ipsilateral Neck/Inter-Trochanteric and Mid-shaft Femoral Fractures Treated with Dual Construct Implants

Background: Various management protocols for ipsilateral neck/intertrochanteric and shaft fracture femur have been formulated, there many disagreements related to their ideal fixation plan. The aim of this study was discuss the various type system available such kind complex injuries advantages using dual construct system.
 Patient Methods: In present we prospectively evaluated in 7 cases managed from January 2018 December 2020. All patients were with constructs dynamic hip screw (DHS) locking plate. outcome Friedman Wyman scoring Results: average surgical time 120.4 min (range 98–143 minutes) a blood loss ranging 290-565 mL (average 460 mL). 6 follow-up undertaken between 10 22-months after surgery, mean 16.2 months. 1 patient lost at 3-month. neck/IT fractures achieved union final follow-up. 3-6 months duration bone union, an 4.1 mid-shaft solid most recent 3 11 5.1 went into non-union surgery. According scoring, 4 functional good, 2 fair, poor. problems noted site infection 1, Angulations (varus/valgus) femoral neck avascular necrosis head 1.
 Conclusion: implants plate yielded good rates outcomes.