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

Abalo, Anani; Dossim, Assang; Bangna, AF Ouro; Tomta, K; Assiobo, A; Walla, A

doi:10.1177/230949900801600109

Cited by 23 publications

(25 citation statements)

References 15 publications

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“…There are several studies that have found excellent results with the use of 2 implants for the femoral neck-shaft combination. 10,19,[27][28][29][30] Our study had several limitations, including the fact that it was retrospective in nature and that multiple surgeons with different levels of experience were included. Because of the nature of this multicenter review, there was no protocol for routine CT scanning of high-energy femoral shaft fractures and no routine protocol for operative management of these fractures.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Review of High-Energy Femoral Neck-Shaft Fractures

Cannada¹,

Viehe²,

Cates³

et al. 2009

Journal of Orthopaedic Trauma

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This study found a similar rate of neck-shaft combinations (3.2%), a higher rate of open fractures, and increased incidence of associated injuries compared with the literature. Most importantly, our data indicate that even with a negative preoperative computed tomography scan, a femoral neck fracture can be present. A trend also indicated more missed femoral neck fractures with retrograde nailing, which may be attributed to less fluoroscopic imaging of the hip with this technique. Patients with femoral shaft fractures should have good quality radiographs after femoral nailing to minimize the risk of missed femoral neck fractures.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Review of High-Energy Femoral Neck-Shaft Fractures

Cannada¹,

Viehe²,

Cates³

et al. 2009

Journal of Orthopaedic Trauma

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“…Frequently, combination of fixation was used for these patients. 7,4,8,1 However, there is less frequent report that ipsilateral subtrochanteric, supracondylar, and intercondylar fractures are treated by femoral lock plant alone. The purposes of this case study report femoral lock plant alone was used for ipsilateral subtrochanteric, supracondylar, and intercondylar fracture.…”

Section: Introductionmentioning

confidence: 96%

Femoral lock plant alone for ipsilateral subtrochanteric, supracondylar, and intercondylar fracture

Wang

Feng

et al. 2012

Injury Extra

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“…These injuries often result from high energy mechanism after a motorcycle–car collision in traffic road accidents or falling from height 3, 4, 5. Moreover, the questions about management, therapeutical difficulty concerning implants choice, order of injury management and time of surgical management are unknown.…”

Section: Introductionmentioning

confidence: 99%

Ipsilateral proximal and shaft femoral fractures

Lawson¹,

Madougou²,

Chigblo³

et al. 2017

Chinese Journal of Traumatology

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PurposeTo study the management and evaluate anatomical and functional outcomes of patients with ipsilateral proximal and shaft femoral fractures.MethodsA retrospective, descriptive and analytic study lasted for ten years and a half ranging from January 1, 2005 to June 30, 2015. The following parameters were studied: epidemiology, fracture characteristics, therapeutic, anatomical and functional outcomes. The correlation between different parameters was analyzed with Fischer test. The significant threshold was defined for p value <0.05.ResultsTen medical files were registered. There were 7 men and 3 women, with a sex ratio of 2.33. The average age was 46 years (range: 29–62 years). It was about traffic road accidents in all cases. Motorcycle–motorcycle and motorcycle–car collision were most frequent. Average admission delay was 7 h (range: 1.5–24 h). Left side was most reached in 8 cases. According to Garden classification, there was type III cervical fracture in 2 cases, type II in 1 case and type IV in 1 case. According to Ender classification, there was type I trochanteric fracture in 3 cases, type VI in 2 cases and type VII in 1 case. According to AO classification, there was type A shaft fracture in 6 cases (A2 in 4 cases and A3 in 2 cases), type B in 2 cases (B1 in 1 case and B2 in 1 case) and type C in 2 cases (C1 in 1 case and C2 in 1 case). Average surgical delay was 28.7 days (range: 11–61 days). For proximal femoral fracture, Moore prosthesis was used in 1 case, blade plate 130° in 2 cases, long Gamma nail in 4 cases, double screwing in 2 cases and dynamic hip screw in 1 case. For shaft femoral fracture, blade plate 95° was used in 3 cases, low compressive plate in 2 cases. Osseous contention was achieved in 4 cases with long Gamma nail and in 1 case with long blade plate 130°. Nonunion of cervical fracture was achieved in 2 cases. The average osseous healing delay was 5.14 months (range: 3–12 months) for proximal femoral fracture and 5 months (range: 3–8 months) for shaft femoral fractures. According to Friedman and Wyman criteria, functional results were good in 4 cases, average in 4 cases and bad in 2 cases. Regarding implants, healing delay showed no statistic difference between one-implant group and two-implant group (p = 0.52), and among the patients with different functional outcomes (p = 0.52). Functional outcomes showed no statistic difference between one-implant group and two-implant group (p = 0.46).ConclusionIpsilateral proximal and shaft femoral fractures are relatively uncommon in our daily activities. It is difficult to recognize proximal femoral fractures which are unnoticed. Results are generally good if the doctors take the two fractures into account in the management.

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

Cited by 23 publications

References 15 publications

A Retrospective Review of High-Energy Femoral Neck-Shaft Fractures

A Retrospective Review of High-Energy Femoral Neck-Shaft Fractures

Femoral lock plant alone for ipsilateral subtrochanteric, supracondylar, and intercondylar fracture

Ipsilateral proximal and shaft femoral fractures

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