Treatment for ipsilateral fractures of femoral neck and shaft

Retrograde nailing of femoral fractures: a retrospective study

“…Another shortcoming of antegrade femoral nails is the limited application in ipsilateral femoral neck and shaft fractures [8]. Studies have reported the incidence of an ipsilateral femoral neck fracture to be up to 9 % in femoral shaft fractures associated with highenergy trauma [9][10][11]. A retrograde nail with a dynamic hip screw fixation has shown favorable outcomes with ipsilateral femoral shaft and neck or trochanteric fractures [12].…”

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

“…The majority of the patients are encountered in high-energy trauma. 10,9 Without doubt these fractures are best managed by surgical stabilisation. Although many methods of fixation have been tried to manage this injury, there is often more than one internal fixations system were needed for these fractures.…”

Reconstruction nailing for ipsilateral femoral neck and shaft fractures

“…In a recent comparative study, Bedi et al [3] found that internal fixation of the neck fracture followed by retrograde nailing of the shaft fracture led to more accurate reduction and improved union rates compared with a single cephalomedullary device. On the other hand, in a retrospective comparison of four different fixation methods, Tsai et al [19] found no significant difference in the amount of blood loss, duration of surgery, complications, or clinical results but identified an 11-fold complication rate in the group of antegrade nailing with cannulated screw fixation of the neck fracture compared with the DHS with LCDCP group. In a systematic review of the literature, Bhandari [5] found that the use of separate femoral neck and shaft implants resulted in fewer reoperations than using a single-implant method.…”