Medical Principles and Practice

Original Paper

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Surgical Treatment for Ipsilateral Fractures of Femoral Neck and Shaft

Khallaf F. · Al-Mosalamy M. · Al-Akkad M. · Hantira H.

Author affiliations

Department of Orthopedics, Al-Jahra Hospital, Ministry of Health, Kuwait

Corresponding Author

Dr. F.G.M. Khallaf

Orthopedic Department, Al-Jahra Hospital

PO Box 21416

Safat 13075 (Kuwait)

Tel. +965 4559189, +965 9160120, Fax +965 4899617, E-Mail fkhalaf2000@yahoo.com

Keywords: Ipsilateral femoral neck and shaft fracturesPlate fixationDynamic hip screwNonunionOsteonecrosis

Related Articles for ""
Med Princ Pract 2005;14:318–324
https://doi.org/10.1159/000086929

Abstract

Objectives: To review the primary and the final results of surgical management of ipsilateral femoral neck and shaft fractures. Subjects and Methods: Seventeen patients (2 female, 15 male, average age 37 years, range 20–60) with ipsilateral femoral neck and shaft fractures were treated by compression plate fixation for the femoral shaft fractures and dynamic hip screw or cannulated cancellous screw fixation for the neck fractures in Al-Razi and Al-Jahra Hospitals, Kuwait, from March 1996 to June 2002. The clinical and radiological primary and final results were analyzed retrospectively. Results: The average follow-up for the primary outcomes was 3.6 years (range 2–6 years). 100% union of the femoral neck fractures, 0% osteonecrosis of the femoral head and 77% union of the shaft fractures were achieved. Complications of femoral shaft fractures, nonunion and metal failure, occurred in 4 (23%) patients and postsurgical infection occurred in 1 patient. At the final follow-up, 15 (88%) patients achieved good clinical outcome and 2 (12%) had fair outcome. Conclusion: Our results show that compression plate fixation for the femoral shaft fracture and dynamic hip screw or cannulated screw fixation for the neck fracture in combination injury is a reliable and adequate technique.

© 2005 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: August 08, 2004
Accepted: January 12, 2005
Published online: August 18, 2005
Issue release date: September – October

Number of Print Pages: 7
Number of Figures: 4
Number of Tables: 2

ISSN: 1011-7571 (Print)
eISSN: 1423-0151 (Online)

For additional information: https://www.karger.com/MPP

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2005, Vol.14, No. 5

September – October

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