Treatment of ipsilateral femoral neck and shaft fractures

Background: No consensus exists regarding the optimal treatment of ipsilateral femoral neck and shaft fractures. We report our experience of managing 13 patients with ipsilateral femoral neck and shaft fractures by using either cannulated screws or dynamic hip screws for the neck and retrograde femoral nail for the shaft. The purpose of this study is to evaluate the function; outcome and healing of that complicated fractures. Material and methods: A consent was taken from thirteen patients who sustained ipsilateral femoral shaft and neck fractures from January 2007 and March 2011 in El Minoufiya University Hospital in Egypt. 10 patients with fracture neck femur had been treated with cannulated screws while 3 patients were treated by dynamic hip screw. all fractures shaft had been treated with retrograde femoral nail.. The mean follow up period was 18 months with range from 12-36 months. Results: There were 10 males and 3 females. The average age was 31 years old with range of 19-45years. The mean follow up period was 18 months with range from 12-36 months. The average healing period of femoral neck fracture was 14 weeks and all femoral neck fractures united. Average union time for femoral shaft fractures was 19 weeks (range, 16-36 weeks). Three femoral shaft fractures needed bone graft at six months. Conclusions: The treatment methods used in the present study achieved satisfactory functional outcome in these complex fractures. The femoral neck fracture should preferably be stabilized first. [Mohamed E. Habib, Yasser S. Hannout and Ahmed F. Shams. Treatment of ipsilateral femoral neck and shaft fractures. Life Sci J 2012;9(4):813-817] (ISSN:1097-8135). http://www.lifesciencesite.com. 127