Ipsilateral femoral neck and shaft fractures: current diagnostic and treatment strategies.
نویسندگان
چکیده
Associated ipsilateral femoral neck fractures have been reported to occur in 1% to 9% of femoral shaft fractures. The associated femoral neck fracture is often nondisplaced, and the diagnosis is delayed or missed in up to one-third of cases. It is essential to carefully evaluate the femoral neck in all patients sustaining high-energy femoral shaft fractures. Although there are a number of different implant options available for management of this challenging injury, most authors recommend that priority be given to anatomic reduction and optimal stabilization of the femoral neck fracture because nonunion, malunion, or avascular necrosis of this injury is more difficult to successfully treat.
منابع مشابه
Reconstruction nailing for ipsilateral femoral neck and shaft fractures
The surgical management of ipsilateral fractures of the femoral neck and shaft presents a difficult and challenging problem for the orthopaedic surgeon. The purpose of the present study was to report the mid-term results and complications in a series of patients who sustained ipsilateral femoral neck and shaft fractures and treated in our trauma department with a single reconstruction nail for ...
متن کاملManagement of Ipsilateral Fracture of Hip and Shaft of Femur
Background: Ipsilateral fractures of the hip with fracture of shaft of femur are rare injuries. They warrant special diagnostic and therapeutic considerations. Various techniques and implants have been developed to manage these fractures. No single device has been proved to be superior to others. Material and Methods: 8 patients (6 male and 2 female) with ipsilateral hip and shaft of femur frac...
متن کاملTreatment of ipsilateral femoral neck and shaft fractures.
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 compress...
متن کاملSurgical 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...
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ورودعنوان ژورنال:
- Orthopedics
دوره 38 4 شماره
صفحات -
تاریخ انتشار 2015