[Surgical treatment of femoral neck pseudarthrosis associated with delayed union of ipsilateral femoral shaft fracture].
A femoral neck fracture combined with an ipsilateral shaft fracture is often primarily not diagnosed. The later treatment is technically more difficult, because in the choice of operative technique for the shaft fracture the neck fracture it was not considered. In this case report the treatment of the shaft fracture with a reamed nail, and the secondary stabilisation of the femoral neck fracture with screws resulted in a pseudarthrosis of the femoral neck with an unfavourable inclination of the fracture plane. Both fractures healed without complications after changing the nail against a bridging plate and an intertrochanteric osteotomy with correction in two planes.
Müller
B
B
Klinik für Unfall- und Wiederherstellungschirurgie, Kliniken des Landkreises Heidenheim, Schlosshau 100, 89522 Heidenheim. speedy.gabi@t-online.de
Müller-Färber
J
J
D000328:Adult; D001858:Bone Nails; D001863:Bone Screws; D005264:Femoral Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy; D011542:Pseudarthrosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013997:Time Factors