Ipsilateral femoral neck and shaft fractures. Retrospective study of 33 cases.

Forty-two consecutive adult patients with a concomitant ipsilateral femoral neck and shaft fracture were treated. The neck fracture was initially missed in 7 patients. Surgery was delayed for a median of 7 days because of the patients' poor general conditions. Thirty-three patients were followed up for 2 (1-6) years. All 33 necks healed, with a union period of 3.3 +/- 1.7 months; and 28 shafts healed after 7.9 +/- 1.8 months. Thus, the femoral shaft determined the total union rate and union period. All the complications, (eight out of 33) occurred in the open procedure group. Our series reveals that ipsilateral femoral neck and shaft fractures have a relatively satisfactory outcome. Closed Küntscher's nailing or interlocking nailing with supplementary Knowles' pinning is the preferable technique.

[1]  J. O. Søjbjerg,et al.  Alternatives in the treatment of ipsilateral fractures of the hip and femur. , 1989, Orthopedics.

[2]  L. Rehnberg,et al.  The stability of femoral neck fractures and its influence on healing. , 1989, The Journal of bone and joint surgery. British volume.

[3]  M. Swiontkowski.  Ipsilateral femoral shaft and hip fractures. , 1987, The Orthopedic clinics of North America.

[4]  R. Friedman,et al.  Ipsilateral hip and femoral shaft fractures. , 1986, Clinical orthopaedics and related research.

[5]  R W Bucholz,et al.  Concomitant ipsilateral fractures of the hip and femur treated with interlocking nails. , 1985, Orthopedics.

[6]  K. M. Chan,et al.  Closed medullary nailing for fractured shaft of the femur--a comparison between the Küntscher and the AO techniques. , 1984, Injury.

[7]  M F Swiontkowski,et al.  Ipsilateral fractures of the femoral neck and shaft. A treatment protocol. , 1984, The Journal of bone and joint surgery. American volume.

[8]  J. Delee,et al.  Partial fibulectomy for ununited fractures of the tibia. , 1981, The Journal of bone and joint surgery. American volume.

[9]  B. Weber,et al.  The treatment of nonunions without electrical stimulation. , 1981, Clinical orthopaedics and related research.

[10]  Hansen St,et al.  Comminuted fractures of the femoral shaft treated by intramedullary nailing. , 1980 .

[11]  M. Chapman,et al.  Ipsilateral concomitant fractures of the hip and femoral shaft. , 1979, The Journal of bone and joint surgery. American volume.

[12]  A. Rothwell,et al.  Closed Küntscher nailing of femoral shaft fractures. A series of 100 consecutive patients. , 1978, The Journal of bone and joint surgery. British volume.

[13]  F. Seinsheimer.  Subtrochanteric fractures of the femur. , 1978, The Journal of bone and joint surgery. American volume.

[14]  R. S. Garden,et al.  Subcapital fractures of the femur. A prospective review. , 1976, The Journal of bone and joint surgery. British volume.

[15]  W. K. Massie.  Treatment of femoral neck fractures emphasizing long term follow-up observations on aseptic necrosis. , 1973, Clinical orthopaedics and related research.

[16]  R. S. Garden,et al.  Malreduction and avascular necrosis in subcapital fractures of the femur. , 1971, The Journal of bone and joint surgery. British volume.

[17]  J. Graham.  Early or delayed weight-bearing after internal fixation of transcervical fracture of the femur. A clinical trial. , 1968, The Journal of bone and joint surgery. British volume.

[18]  G. Abrami,et al.  TRANSCERVICAL FEMORAL FRACTURE , 1964 .

[19]  G. Abrami,et al.  TRANSCERVICAL FEMORAL FRACTURE. A REVIEW OF 195 PATIENTS TREATED BY SLIDING NAIL-PLATE FIXATION. , 1964, The Journal of bone and joint surgery. British volume.