Ipsilateral concomitant fractures of the hip and femoral shaft.

Casey, Murray Joseph; Chapman, Michael W.

doi:10.2106/00004623-197961040-00003

Cited by 90 publications

(50 citation statements)

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“…The percentage of missed primary diagnosis with a delay from one day to several months has been around 30 (Decoulx et al 1965, Mackenzie 1971, Bemstein 1974, Moschinski et al 1974, Nador et al 1975, Casey and Chapman 1979, Swiontkowski et al 1984, Gill et al 1990, Wiss et al 1992. The frequency of delayed and missed diagnosis depended on the diagnostic routine of the hospital and on the type of fracture.…”

Section: Delayed Diagnosis Of the Hip Fracturementioning

confidence: 99%

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

Alho

1996

Acta Orthopaedica Scandinavica

119

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Section: Delayed Diagnosis Of the Hip Fracturementioning

confidence: 99%

“…Intramedullary nailing with multiple flexible Ender nails has also been used in the combined fractures (Casey and Chapman 1979). In some cases, supplementary pins were placed in the neck.…”

Section: Treatment Techniques and Outcomementioning

confidence: 99%

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

Alho

1996

Acta Orthopaedica Scandinavica

119

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“…Inability to take suitable radiographs, outside pivot of the shaft of the femur and the nearness of a subclinical mysterious fracture may represent preoperative misdiagnosis [6,7] . Fractures amid nailing might be expected to the entering gadget amid arrangement of the section point parallel addition of the femoral nail in a littlpatient, a neck-shaft point of more than 135°, the average prong of the inclusion jig,or front area of the passage gap [8] .…”

Section: Introductionmentioning

confidence: 99%

Ipsilateral femoral neck and shaft fractures: An analysis of two treatment methods

2017

Int. J. Orthop. Sci.

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Background: Ipsilateral femoral neck and shaft fractures are extraordinary wounds that present a surgical challenge. It happens in roughly 6% to 9% of all femoral shaft fractures. In spite of this moderately basic introduction, decision-making frequently is troublesome. The principle target of this article is to think about treatment techniques in ipsilateral femoral neck and shaft fractures. Materials and Methods: A sum of 24 patients with ipsilateral femoral neck and shaft decision-making fractures were treated with PFNA-long or different plate mixes. We isolated patients into two gatherings. Gathering I included 13 patients who experienced surgery with cancellous lag screws or dynamic hip screws (DHS) joined with compression plate fixation. Gathering II included 11 patients who experienced surgery with reconstruction-type intramedullary nailing. Result: The mean age was 31 and 34 years in Group I and Group II, respectively. The normal follow-up periods were 19.9 and 20.2 months for bunches I and II, separately. Normal union time for femoral neck crack in Group I and Group II were 13.7 and 15.1 weeks, individually, and for shaft breaks, these time were 19 and 21 weeks, separately. There were 8 (61%) great, 4 (30%) reasonable practical outcomes in Group I. There were 8 (72%) great, 2 (19%) reasonable, and 1 (10%) poor practical outcomes in Group II. One instance of embed disappointment and nonunion of the femoral shaft fracture happened in group I. Conclusion: Both treatment strategies accomplished acceptable useful results in patients with ipsilateral basicervical femoral neck and shaft fractures.

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“…Only 81 cases were reported from 1953 to 1980 [1,[3][4][5]7]. The mechanism of injury is not well known but some authors suggest that the femoral fractures occur while the leg is abducted, so that compression force is buttressed by the acetabulum, and fracture of the neck will occur following fracture of the shaft [4].…”

Section: Discussionmentioning

confidence: 99%

“…No standard fixation method is universally accepted. Casey and Chapman used the Enders nail for both fractures [5]. Although this can be done with a small incision using one device, with less blood loss, it may cause external rotation and angulation deformities.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Ipsilateral Fractures of the Femoral Neck and Shaft

et al. 1993

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We studied 43 patients with ipsilateral femoral shaft and femoral neck fractures who had dynamic hip screw fixation alone or in combination with dynamic compression plate. All patients except two were diagnosed early; 37 patients had other associated injuries. There were 41 males and two females. The follow-up ranged from eight months to four years (mean 2-1/2 years). Six patients were lost to follow-up. Fracture of the neck of the femur healed in all 37 patients. Four patients had delayed union and two patients developed nonunion of the shaft of the femur. A concomitant ipsilateral femoral shaft and neck fracture is uncommon [1]. It usually occurs in young patients. The mechanism of injury is not well known. It is associated with high velocity accidents and accompanied by multiple system trauma [2]. With advanced emergency facilities, most of these patients survive their multiple system injuries so they need definitive management for their fractures [3]. There is no standard method of fixation for such combined fractures. In this study, good results were obtained in those patients who had early diagnosis and fixation with a long plate dynamic hip screw alone or dynamic hip screw and broad dynamic compression plate. Patients and MethodsDuring the period 1987-1991, a total of 43 patients who had ipsilateral femoral shaft and neck fractures were treated by internal fixation. The implants used were either a long plate dynamic hip screw (DHS) holding both fractures or a dynamic hip screw for the fracture of the neck and a broad dynamic compression plate (DCP) for the fracture of the shaft (Figures 1 and 2). Cancellous bone graft from the iliac crest was added in 32 patients who had comminuted fractures or defects in the medial cortex, while 11 patients had no bone graft. In 41 patients, surgery was undertaken within the first two to seven days. This delay was mainly due to the blood donation policy implemented in the hospital. Two patients who were not initially diagnosed had surgery later on. Forty-one patients were males and two were females. The ages ranged from 25 to 70 years (average 38 years). All patients were involved in road traffic accidents. The type and site of fracture and the outcome of follow-up was considered. Surgical TechniqueThe patient was put on a hip fracture table. The femoral neck fracture was reduced by traction under image intensifier. Through a lateral approach, DHS was inserted in the femoral neck. If the fracture was in the upper onethird of the femur, both fractures were fixed by using a long DHS plate. If the femoral shaft fracture was in the middle or lower one-third, initially the femoral neck fracture was fixed with a short DHS plate; then traction was released and an extension table applied under the leg. Using a second incision, the femoral shaft fracture was fixed with a broad DCP which was applied in a different plane from the DHS plate.

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Ipsilateral concomitant fractures of the hip and femoral shaft.

Cited by 90 publications

References 0 publications

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

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

Ipsilateral femoral neck and shaft fractures: An analysis of two treatment methods

Treatment of Ipsilateral Fractures of the Femoral Neck and Shaft

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