J Korean Soc Traumatol.  2018 Aug;31(2):96-102. 10.20408/jti.2018.31.2.96.

Surgical Treatment of Ipsilateral Multi-Level Femoral Fracture Treated Using Antegrade Intramedullary Nail

Affiliations
  • 1Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University Medical Center, Seoul, Korea. jkoh@korea.ac.kr

Abstract

Ipsilateral fractures of proximal femur with shaft and condylar region are very rare. Current concept of management is based on fixation of each fracture as independent entity using separate fixation modalities for proximal and distal parts of femur. However, we considered that antegrade femoral nailing with cephalomedullary screw fixation is a good option for ipsilateral multi-level femoral fractures. Here, we present an experience of satisfactory treatment for ipsilateral femoral neck fracture, subtrochanteric fracture, comminuted shaft fracture with supracondylar fracture following road traffic accident.

Keyword

Femoral fractures; Multi-level; Intramedullary nailing; Treatment

MeSH Terms

Accidents, Traffic
Femoral Fractures*
Femoral Neck Fractures
Femur
Fracture Fixation, Intramedullary
Fractures, Comminuted
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