J Korean Fract Soc.  2003 Jul;16(3):327-333. 10.12671/jksf.2003.16.3.327.

Treatment of Ipsilateral Femoral Neck and Shaft Fractures

• Kim JR
• Lee HS
• Park MS
• Yu HC
• Yang DH

• KMID: 1999356
• DOI: http://doi.org/10.12671/jksf.2003.16.3.327

Abstract

PURPOSE: To analyse the result of the treatment of ipsilateral femoral neck and shaft fractures and to consider effective method of the treatment.
MATERIALS AND METHODS
Seventeen patients with ipsilateral femoral neck and shaft fractures were treated from January 1992 to January 1999 and followed up more than 2 years. Radiologic bony union between each treatment method, complication were analysed. The functional results assessed with Iowa hip rating system and Swiontkowski system.
RESULTS
In femoral neck fractures, bony union was obtained in all cases, average 12 weeks. In femoral shaft fractures, bony union was obtained in all but one case. There was no statistical association bony union time between each treatment method (p>0.05). By Iowa hip rating system, nine hips had an excellent result; eight, a good result. According to rating system of Swiontkowski, the result was excellent in nine, good in six, fair in one, and poor in one.
CONCLUSION
We concluded that early diagnosis of all injuries was needed. To avoid further vascular damage of femoral head, early anatomical reduction of the femoral neck fracture should be performed. And then, shaft fracture was fixed with implants which were most appropriate for that combination of fractures.

Keyword

Femur; Ipsilateral neck and shaft fractures; Treatment

MeSH Terms

Early Diagnosis
Femoral Neck Fractures
Femur
Femur Neck*
Head
Hip
Humans
Iowa