Ipsilateral Femoral Neck and Shaft Fractures: Current Diagnostic and Treatment Strategies

被引：41

作者：

Hak, David J. ^{[1
]}

Mauffrey, Cyril ^{[1
]}

Hake, Mark ^{[1
]}

Hammerberg, E. Mark ^{[1
]}

Stahel, Philip F. ^{[1
]}

机构：

[1] Univ Colorado, Denver Hlth, Denver, CO 80202 USA

来源：

ORTHOPEDICS | 2015年 / 38卷 / 04期

关键词：

INTRAMEDULLARY NAIL; PROXIMAL FEMUR; HIP; FIXATION;

D O I：

10.3928/01477447-20150402-05

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Associated ipsilateral femoral neck fractures have been reported to occur in 1% to 9% of femoral shaft fractures. The associated femoral neck fracture is often nondisplaced, and the diagnosis is delayed or missed in up to one-third of cases. It is essential to carefully evaluate the femoral neck in all patients sustaining high-energy femoral shaft fractures. Although there are a number of different implant options available for management of this challenging injury, most authors recommend that priority be given to anatomic reduction and optimal stabilization of the femoral neck fracture because nonunion, malunion, or avascular necrosis of this injury is more difficult to successfully treat.

引用

页码：247 / 251

页数：5

共 18 条

[1] Concurrent ipsilateral fractures of the hip and femoral shaft - A meta-analysis of 659 cases [J].