Ipsilateral Fractures of the Femoral Neck and Shaft

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

“…They stated that the primary radiographs taken in the emergency room were inadequate for diagnosing all femoral neck fractures and recommended repeated controls. This is illustrated by one of our cases where the hips were Barquet et al 1985Bucholz and Rathjen 1985Wruhs et al 1986Friedman and Wyman 1986Harryman et al 1986Farooque et al 1988Eiskjaar et al 1989Geissler et al 1989Rinaidi et al 1989Gill et al 1990Melis et al 1990Daffner et al 1991Wu and Shih 1991Bose et al 1992Wiss et al 1992Leung et al 1993Chaturvedi and Sahi 1993Bennett et al 1993Alho et al 1995 Present case ( Radiograph of the pelvis taken in the emergency room shows a displaced basilar neck fracture on the left. On the right, no fracture can be seen.…”

“…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.…”

“…Eiskjaer et al (1989) reported 2 avascular necroses in a series of 8 concomitant neck and shaft fractures; the reduction of the femoral neck fracture was insufficient in both cases. Wiss et al (1992) reported 13 ipsilateral neck and shaft fractures where the threaded, oblique, proximal screw of the locked nail was used to fix the femoral neck fracture in a reversed manner; 2 of these cases ended with avascular necrosis. These figures are too small to provide statistical evidence of the effect of the fracture reduction or type of treatment on the occurrence of avascular necrosis.…”

Ipsilateral Proximal Femur and Shaft Fractures Treated With Hip Screws and a Reamed Retrograde Intramedullary Nail

“…Although this entity is not common, it presents a diagnostic and therapeutic challenge for orthopaedic surgeons. Initially, antegrade intramedullary (IM) nails were employed with screws around the nail to fix the femoral neck fracture [4,18,20]. Although this provided adequate treatment for the femoral shaft fracture, the femoral neck fixation with this approach offered was tenuous.…”

Analysis of the results of ipsilateral hip and shaft femur fractures treated with reconstruction-type intramedullary nail or various plate combinations

“…[17][18][19]  Antegrade femoral nailing of the shaft with separate screws adjacent to the nail for fixation of neck ('miss-a-nail' technique). 20,21 Each method has its own merits and demerits. The purpose of our study was to compare the radiological and functional outcome of ipsilateral hip and shaft femur fractures treated by using two different methods, i.e., reconstruction-type intramedullary nail and plate-screw combinations.…”