Ipsilateral femoral neck and shaft fracture in children: a report of two cases and a literature review

Song, Kyung‐Bin; Ramnani, Kirti; Cho, Chul-Hyun; Bae, Ki Cheor; Lee, Kyung Jae; Son, Eun Seok

doi:10.1007/s10195-012-0188-9

Cited by 7 publications

(10 citation statements)

References 23 publications

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“…Thus, this phenomenon demonstrated that a reconstruction nail is a better treatment than a hollow screw+plate with respect to clinical efficacy. This result was similar to that by Song at el., which reported the reconstruction nail was deemed a more efficient therapy than a hollow screw+plate [18].…”

Section: Discussionmentioning

confidence: 99%

“…In the case of femoral shaft fracture combined with femoral neck fracture, surgery is better than traction. Nonetheless, the reconstruction of the intramedullary nail is an optimal choice [17,18]. The design of the femoral reconstruction intramedullary nail conforms to the physiological axis of the human femur and belongs to the central internal splint frame structure.…”

Section: Discussionmentioning

confidence: 99%

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RETRACTED ARTICLE: Treatment comparison of femoral shaft with femoral neck fracture: a meta-analysis

Lu¹,

Wang²,

Song³

et al. 2020

J Orthop Surg Res

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Background: To compare the efficacy and complications between reconstruction nail and hollow screw+plate in patients with femoral shaft and femoral neck fracture. Methods:The full text of studies on clinical efficacy involving reconstruction nail and hollow screw+plate was retrieved from multiple databases. Review Manager 5.0 was adopted for meta-analysis, sensitivity analysis, and bias analysis. The meta-analysis was conducted with respect to the operation time, blood loss, healing time of the femoral shaft, healing time of the femoral neck, and complications. Finally, 10 studies met the eligibility criteria, including 991 patients. Results: The meta-analysis suggested better characteristics for the reconstruction nail compared with the hollow screw+plate regarding operation time (OR = − 82.41, 95% CI [− 91.72, − 73.10], P < 0.00001; P for heterogeneity < 0.00001, I 2 = 98%), blood loss (OR = − 388.01, 95% CI [− 422.95, − 353.06], P < 0.00001; P for heterogeneity < 0.00001, I 2 = 99%), healing time of femoral shaft (MD = − 3.89, 95% CI [− 4.74, − 3.05], P < 0.00001; P for heterogeneity < 0.00001, I 2 = 99%), healing time of femoral neck (MD = − 4.04, 95% CI [− 4.33, − 3.75], P < 0.00001; P for heterogeneity = 0.008, I 2 = 60%), and complications (OR = 0.47, 95% CI [0.31, 0.73], P = 0.0006; P for heterogeneity = 1.00, I 2 = 0%). Conclusion:This meta-analysis shows that a reconstruction nail is a more efficient and safer treatment than a hollow screw+plate for patients with femoral shaft and femoral neck fracture.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Treatment comparison of femoral shaft with femoral neck fracture: a meta-analysis

Lu¹,

Wang²,

Song³

et al. 2020

J Orthop Surg Res

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“…McDougall first reported in 1967 a case of ipsilateral femoral neck and shaft fracture in an 8-year-old child, and since then only 16 such cases have been documented. [ 2 , 3 ]…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no unified view on the mechanism of injury. Song et al [ 3 ] believed that the mechanism of injury involved high energy and impact on both the femoral shaft and neck. In contrast, Hajdu et al [ 4 ] suggested that it resulted from continuous high-energy impact.…”

Section: Discussionmentioning

confidence: 99%

“…Femoral shaft fractures in children are common, but concomitant ipsilateral fractures of the neck and shaft of the femur are rare with very few cases reported in the literature. [ 1 – 3 ] These injuries are caused by high-energy impact, usually in car accidents or high-altitude fall, often combined with serious damage to other body parts, and easy to miss the diagnosis. [ 2 ] Although there is still no consensus on the technical approach, reduction of the fracture remains the guiding principle in the management of such injuries, with open reduction followed by internal fixation (ORIF) being the preferred treatment.…”

Section: Introductionmentioning

confidence: 99%

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Ipsilateral femoral neck and shaft fracture in children

Xing

Lan

et al. 2021

Medicine

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Rationale: Pediatric femoral shaft combined with ipsilateral femoral neck fractures are very rare but challenging injuries fraught with the development of avascular necrosis, coxa vara, and leg length discrepancy. Majority of the previous reports indicated the neck femur fracture was fixed with cannulated screws or/and pins, femoral shaft fracture was stabilized with a plate and screws. However, we used cannulated screws combined with elastic stable intramedullary nails to minimally invasive procedures treat this type of injury and achieved good follow-up results. Patient concerns: A 7-year-old boy (Case 1) was hospitalized due to a traffic accident resulting in swelling and deformity of the right thigh accompanied by limited mobility of hip and knee. A 5-year-old male child (Case 2) presented with pain and swelling in the bilateral lower limb after fall from approximately 12 feet. Diagnoses: Physical examination, X-ray film, and computed tomography were performed. Both patients were diagnosed with ipsilateral femoral neck and shaft fracture. Interventions: The fractures were reduced closed by image-intensifier imaging. Two partially threaded cancellous screws were used to fix femoral neck fracture, and elastic intramedullary nails were performed to stable the femoral shaft fracture. Postoperatively, the patients were immobilized in a one-and-a-half hip spica cast for six weeks. The internal fixations were removed after one year. Outcomes: Case one was follow-up at 14 months and the other one was followed up for 3 years. And at the last follow-up showed a normal and painless hip function. No clinical complications were found during follow-up visit, including head penetration, implant failure, fracture nonunion, avascular necrosis and hip varus deformity. Lessons: Clinician should carefully check and read relevant imaging data to avoid missed diagnosis. And the internal fixation method described in this paper may be more minimally invasive.

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Advantages and limitations of intramedullary nailing for the surgical treatment of ipsilateral intertrochanteric and femoral shaft fractures: a retrospective comparative study based on propensity score matching

Shin

Jang

Jung

et al. 2020

Eur J Trauma Emerg Surg

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Ipsilateral femoral neck and shaft fracture in children: a report of two cases and a literature review

Cited by 7 publications

References 23 publications

RETRACTED ARTICLE: Treatment comparison of femoral shaft with femoral neck fracture: a meta-analysis

RETRACTED ARTICLE: Treatment comparison of femoral shaft with femoral neck fracture: a meta-analysis

Ipsilateral femoral neck and shaft fracture in children

Advantages and limitations of intramedullary nailing for the surgical treatment of ipsilateral intertrochanteric and femoral shaft fractures: a retrospective comparative study based on propensity score matching

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