Retrograde nailing with subsequent screw fixation for ipsilateral femoral shaft and neck fractures

Oh, Chang Wug; Oh, Jong Keon; Park, Byung Chul; Jeon, In-Ho; Kyung, Hee-Soo; Kim, Shin‐Yoon; Park, Il Hyung; Sohn, Oog Jin; Min, Woo‐Kie

doi:10.1007/s00402-006-0161-2

Cited by 64 publications

(69 citation statements)

References 15 publications

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“…Drifting hip damage and ipsilateral femoral neck and shaft fractures are uncommon and result from high-vitality injury, particularly numerous injury. For femoral twofold fractures, Oh et al detailed the utilization of a retrograde nail for the femoral shaft and screws for the femoral neck [19] . Jain et al what's more, Watson and Moed utilized a solitary antegrade remaking nail for shaft and neck fractures [17] .…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

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

2017

Int. J. Orthop. Sci.

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“…All of the nondisplaced fractures were fixed in situ. Of the 26 displaced proximal femur fractures, 13 had an open reduction before screw placement after an initial unsuccessful attempt at closed reduction. Nineteen Plain radiography and/or CT scan identified 86 proximal femur fractures before going to the operating room ( Fig.…”

Section: Study Design and Patientsmentioning

confidence: 99%

“…In the mid-1990s, retrograde femoral IM nailing saw wider use and larger comparative reports demonstrating good union and alignment rates in the treatment of femoral shaft fractures. The success of this device led to the use of independent screw fixation of femoral neck fractures and retrograde IM nailing of the ipsilateral femoral shaft fracture [3,8,13,14,17]. In theory, these two implants allowed the individualized treatment of each fracture.…”

Section: Introductionmentioning

confidence: 99%

“…In theory, these two implants allowed the individualized treatment of each fracture. There have been several published reports on the use of screw fixation for the hip fracture and retrograde nailing of the ipsilateral femoral shaft fracture; however, these have all been with a small number of patients and usually a single institution, making it difficult to draw conclusions [3,8,13,14,17].…”

Section: Introductionmentioning

confidence: 99%

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

Ostrum

Tornetta

Watson

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…13,14,16  Retrograde intramedullary nail of the shaft and screw fixation of the neck. [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.…”

mentioning

confidence: 99%

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

rao

Chodavarapu

Buchupalli³

et al. 2016

Int J Res Orthop

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Background: Ipsilateral femoral shaft and hip fractures are commonly encountered following high energy trauma. Despite many treatment methods, controversy exists regarding the optimal management of these fractures. This study was planned to compare reconstruction-type intramedullary nailing and various plate combinations on the fracture healing and functional outcome in patients with these fractures.Methods: 25 patients with ipsilateral femoral shaft and hip fractures were operated by one of the two modalities - cancellous lag screws or dynamic hip screw for fracture hip and compression plate fixation for fracture shaft of the femur (Group I, 13 patients) and Reconstruction-type intramedullary nailing alone (Group II, 12 patients) - depending on surgeon's preference. The functional results of the patients were assessed with the system used by Friedman and Wyman. Radiological and functional assessment was done by an independent evaluator blinded to the surgical procedure.Results: The mean age was 33.6±4.03 in group I and 35.3±4.04 years in group II (p=0.70). The average follow up was 15 months. The average union time for femoral neck fracture was 15.75±0.89 and 16.48±1.40 (p=0.36) weeks and for fracture shaft was 19.27±1.18 and 20.06±1.16 (p=0.15) in group I and group II respectively. 10 patients (76.9%) in group I and 9 (75%) in group II showed good functional results. Two patients needed re-operation in group I and one patient in group II.Conclusions: Ipsilateral femoral shaft and hip fractures can be treated satisfactorily either with nailing alone or various plate combinations with similar outcome.

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Retrograde nailing with subsequent screw fixation for ipsilateral femoral shaft and neck fractures

Abstract: Retrograde nailing of femoral shaft fractures can provide an easy fixation and a favorable result for ipsilateral femoral neck fractures.

Cited by 64 publications

References 15 publications

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

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

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

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

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