Treatment of ipsilateral femoral neck and shaft fractures.
نویسندگان
چکیده
OBJECTIVE To investigate the clinical characteristics, treatment options and causes of misdiagnosis of ipsilateral femoral neck and shaft fractures. METHODS Among 20 patients with ipsilateral femoral neck and shaft fractures, 19 were treated operatively and 1 was treated conservatively. Sixteen cases of femoral shaft fractures were treated by open reduction and internal fixation with compressive plate, and 2 cases were treated with interlocking intramedullary nailing. Eighteen femoral neck fractures were treated with cannulated screws. Another patient was treated with proximal femoral nail to fix both the neck and shaft. Delayed diagnosis for femoral neck fractures occurred in 2 cases preoperatively. RESULTS A total of 19 patients were followed up. The follow up period ranged from 5 to 48 months with an average of 15 months. All the fractures were healed. CONCLUSION For case of femoral shaft fracture caused by high energy injury, an AP pelvic film should be routinely taken. Once the femoral neck fracture is recognized, operative reduction and fixation should be performed in time. Femoral neck and shaft fractures should be fixed separately.
منابع مشابه
Surgical treatment for ipsilateral fractures of femoral neck and shaft.
OBJECTIVES To review the primary and the final results of surgical management of ipsilateral femoral neck and shaft fractures. SUBJECTS AND METHODS Seventeen patients (2 female, 15 male, average age 37 years, range 20-60) with ipsilateral femoral neck and shaft fractures were treated by compression plate fixation for the femoral shaft fractures and dynamic hip screw or cannulated cancellous s...
متن کاملConcomitant ipsilateral femoral neck and shaft fractures--analysis of cases.
Concomitant ipsilateral shaft and femoral neck or pertrochanteric fractures are uncommon. They result from high-energy traumas and the mechanism of injury is usually complex. The proximal fracture is often not displaced and may be hardly visible on x-rays. Overlooking the proximal fracture may result in therapeutic problems. The best method of treatment is by closed stabilization of both fractu...
متن کاملDynamic hip screw and compression plate fixation of ipsilateral femoral neck and shaft fractures.
PURPOSE To evaluate surgical outcomes of ipsilateral femoral neck and shaft fractures. METHODS Between April 1997 and September 2004, 29 men and 8 women (mean age, 37 years) underwent fixation of femoral neck and shaft fractures using a dynamic compression plate plus a dynamic hip screw or screws. There were 30 femoral neck and 7 pertrochanteric fractures. Functional results were assessed acc...
متن کاملReconstruction intramedullary nailing for ipsilateral femoral neck and shaft fractures: main factors determining prognosis.
BACKGROUND Ipsilateral femoral neck and shaft fractures are rare, and currently available treatment methods each have their own benefits and limitations. Although reconstruction intramedullary nails have been considered to be effective alternative, clinical outcomes vary significantly in reports. METHODS Thirty-seven consecutive adult patients with 37 combined fractures were treated with reco...
متن کاملUse of reconstruction nails to manage ipsilateral displaced femoral neck-shaft fractures: assessment of a new approach.
PURPOSE Owing to unpredictable femoral neck reduction, reconstruction nails are not suitable for fixation of group 3 ipsilateral femoral neck-shaft fractures. We developed a new one-step fixation technique to overcome this problem. This study aims to assess this new technique at the Orthopaedic Department, Chi-Mei Foundation Medical Center, Tainan. METHODS Of 31 consecutive patients with femo...
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عنوان ژورنال:
- Chinese journal of traumatology = Zhonghua chuang shang za zhi
دوره 11 3 شماره
صفحات -
تاریخ انتشار 1999