Concurrent ipsilateral fractures of the hip and femoral shaft:A meta-analysis of 659 cases

Alho, A

doi:10.3109/17453679608995603

Cited by 119 publications

(116 citation statements)

References 41 publications

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“…The results of the current study with 77% union in the femoral shaft fractures and 100% union in the femoral neck fractures confi rm the results of Alho [19,20] and Watson and Moed [10] and emphasize that both fractures should be tackled with equal degrees of seriousness, concern and care due to their drastic complications. Both must be anatomically reduced and rigidly fi xed.…”

Section: Discussionsupporting

confidence: 74%

“…However, Alho [19,20] thought that femoral shaft fracture was the main determining factor in patients' overall outcome as also reported by Watson and Moed [10], who have shown that femoral shaft nonunion is more diffi cult to treat with some patients requiring more than one revision surgery to achieve union. The results of the current study with 77% union in the femoral shaft fractures and 100% union in the femoral neck fractures confi rm the results of Alho [19,20] and Watson and Moed [10] and emphasize that both fractures should be tackled with equal degrees of seriousness, concern and care due to their drastic complications.…”

Section: Discussionmentioning

confidence: 91%

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Surgical Treatment for Ipsilateral Fractures of Femoral Neck and Shaft

et al. 2005

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Objectives: To review the primary and the final results of surgical management of ipsilateral femoral neck and shaft fractures. Subjects and Methods: Seventeen patients (2 female, 15 male, average age 37 years, range 20–60) with ipsilateral femoral neck and shaft fractures were treated by compression plate fixation for the femoral shaft fractures and dynamic hip screw or cannulated cancellous screw fixation for the neck fractures in Al-Razi and Al-Jahra Hospitals, Kuwait, from March 1996 to June 2002. The clinical and radiological primary and final results were analyzed retrospectively. Results: The average follow-up for the primary outcomes was 3.6 years (range 2–6 years). 100% union of the femoral neck fractures, 0% osteonecrosis of the femoral head and 77% union of the shaft fractures were achieved. Complications of femoral shaft fractures, nonunion and metal failure, occurred in 4 (23%) patients and postsurgical infection occurred in 1 patient. At the final follow-up, 15 (88%) patients achieved good clinical outcome and 2 (12%) had fair outcome. Conclusion: Our results show that compression plate fixation for the femoral shaft fracture and dynamic hip screw or cannulated screw fixation for the neck fracture in combination injury is a reliable and adequate technique.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 91%

Surgical Treatment for Ipsilateral Fractures of Femoral Neck and Shaft

et al. 2005

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“…3,6,7 In a metaanalysis of 659 such fractures, traffic accidents accounted for 78% of the cases and 13% were due to other types of trauma. 11 Most of the patients were young men and had multi-system injuries.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Hip Screw and Compression Plate Fixation of Ipsilateral Femoral Neck and Shaft Fractures

Abalo

Dossim

Bangna

et al. 2008

J Orthop Surg (Hong Kong)

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Purpose. To evaluate surgical outcomes of ipsilateral femoral neck and shaft fractures. Methods. Between April 1997 and September 2004, 29 men and 8 women (mean age, 37 years) underwent fixation of femoral neck and shaft fractures using a dynamic compression plate plus a dynamic hip screw or screws. There were 30 femoral neck and 7 pertrochanteric fractures. Functional results were assessed according to the Friedman and Wyman classification. Results. The mean follow-up period was 49 months. Of the femoral neck fractures, 34 united in a mean of 4 months; 33 of them healed anatomically and one with a 6º varus angulation. No osteonecrosis of the femoral head was noted. Of the femoral shaft fractures, 32 united in a mean of 6 months, 5 were non-unions (2 persisted even after revision surgery). Seven patients developed infections (5 superficial and 2 deep), which resolved with debridement and antibiotic treatment. Surgery 2008;16(1):35-8 shaft fractures is reliable in achieving bone union with few complications. Journal of Orthopaedic

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“…Usually, shaft femoral fractures were associated with high-energy trauma and multiple injuries, and, in these cases, CT scanning is commonly used in standard work-up [9,11]. Fluoroscopic examination of the femoral neck is needed if CT is not available, to allow the full assessment of fractures before operation [12].…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic femoral neck fracture during closed nailing of the femoral shaft fracture

Castellanos

Garcia-Nuño

Cavanilles-Walker

et al. 2009

Eur J Trauma Emerg Surg

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Concurrent ipsilateral fractures of the hip and femoral shaft:A meta-analysis of 659 cases

Abstract: To cite this article: Antti Alho (1996) Concurrent ipsilateral fractures of the hip and femoral shaft:A meta-analysis of 659 cases, Acta Orthopaedica Scandinavica, 67:1, 19-28,

Cited by 119 publications

References 41 publications

Surgical Treatment for Ipsilateral Fractures of Femoral Neck and Shaft

Surgical Treatment for Ipsilateral Fractures of Femoral Neck and Shaft

Dynamic Hip Screw and Compression Plate Fixation of Ipsilateral Femoral Neck and Shaft Fractures

Iatrogenic femoral neck fracture during closed nailing of the femoral shaft fracture

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