Concomitant ipsilateral femoral neck and shaft fractures--analysis of cases
Wójcik, K.; Nowak, R.; Chmielewski, Łu.; Ochenduszka, S.T.
Ortopedia, Traumatologia, Rehabilitacja 11(3): 271-279
2009
ISSN/ISBN: 1509-3492 PMID: 19620745 Document Number: 632344
Concomitant ipsilateral shaft and femoral neck or pertrochanteric fractures are uncommon. They result from high-energy traumas and the mechanism of injury is usually complex. The proximal fracture is often not displaced and may be hardly visible on x-rays. Overlooking the proximal fracture may result in therapeutic problems. The best method of treatment is by closed stabilization of both fractures with a reconstruction nail. In our opinion, concomitant neck and femoral shaft fractures demand particular alertness in x-ray analysis, precision in fracture stabilization and usually longer patient rehabilitation.