title: Ipsilateral fractures of the femoral neck and shaft.
abstract: Ipsilateral femoral shaft and neck fractures are difficult to treat. From 1989 to 1998, we treated 18 patients with these complex fractures. There were 14 male and 4 female with an average age of 40 years. Most resulted from high-energy trauma. The average follow-up period is 41 months. All but one of the fractures united well. The mean time to union is 5.2+/-2.3 months in the diaphysis and 4.16+/-2 months in the neck. No cases of the femoral neck fracture or osteonecrosis of the femoral head were observed during the follow-up period. Fourteen cases were treated with a standard protocol of plates for diaphyseal fractures and lag screws or dynamic hip screws (DHS) fixations for the femoral neck fractures. There were 13 good and 1 fair functional results. Two neglected neck fractures were treated with interlocking nailing for diaphyseal fracture with fair results. We conclude that a plate on the shaft and sliding hip screws or separate screws in the hip is a reliable method for ipsilateral femoral neck and shaft fractures.
authors.affiliation: Department of Orthopaedic Surgery, Kaohsing Medical University, Taiwan.
authors.forename: C H
authors.initials: CH
authors.lastname: Chen
authors.forename: T B
authors.initials: TB
authors.lastname: Chen
authors.forename: Y M
authors.initials: YM
authors.lastname: Cheng
authors.forename: J K
authors.initials: JK
authors.lastname: Chang
authors.forename: S Y
authors.initials: SY
authors.lastname: Lin
authors.forename: S H
authors.initials: SH
authors.lastname: Hung
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D002985:Clinical Protocols; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery; D005271:Femur Head Necrosis / Q000209:etiology / Q000517:prevention & control; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome