Journal of Orthopedics and Joint Surgery

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VOLUME 2 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Outcome Analysis of Ipsilateral Neck with Shaft of Femur Fractures Treated by Cephalomedullary Nail

Chandru A Kumar, Ganesan Ram Ganesan

Citation Information : Kumar CA, Ganesan GR. Outcome Analysis of Ipsilateral Neck with Shaft of Femur Fractures Treated by Cephalomedullary Nail. 2020; 2 (1):1-3.

DOI: 10.5005/jp-journals-10079-1012

License: CC BY-NC 4.0

Published Online: 07-08-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The incidence of ipsilateral neck of femur with shaft of femur fracture was around 1–9%. The diagnosis of femoral neck fractures is frequently missed during the initial assessment due to more focus of femoral shaft fractures. There are hardly any literature regarding outcomes of ipsilateral neck and femur shaft fractures. The aim of the study is to assess the functional outcome of ipsilateral neck with shaft of femur fracture treated with cephalomedullary nail. Materials and methods: This is a prospective study done at Sri Ramachandra Medical College between April 2014 and December 2018 in the Department of Orthopedics. The inclusion criteria were patients above 18 years having ipsilateral neck with shaft of femur fracture. The exclusion criteria were isolated shaft or neck of femur fracture and patients who lost follow-up and open fractures. We had 15 patients who had full follow-up. The minimum follow-up was taken as 1 year. Patients\' age group was between 24 years and 58 years with an average of 40 years. All the patients were followed up by modification of Wilde et al.\'s Neer scoring system for outcome. Results: We had excellent results in five patients, seven patients had good results, and three patients had fair results. There was no poor result in our cases. In our study, 67% of the cases had no complications. The average time of union of the fracture was 25 weeks. Conclusion: Even though cephalomedullary nailing is technically demanding for ipsilateral neck of femur and shaft of femur fracture management, in our series with decent clinical outcome and fewer complications, it can be considered as an acceptable option in the management of these fractures.


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  1. Hak DJ, Mauffrey C, Hake M, et al. Ipsilateral femoral neck and shaft fractures: current diagnostic and treatment strategies. Orthopedics 2015;38(4):247–251. DOI: 10.3928/01477447-20150402-05.
  2. Bennett FS, Zinar DM, Kilgus DJ. Ipsilateral hip and femoral shaft fractures. Clin orthop 296:168–177. DOI: 10.1097/00003086-199311000-00030 1993.
  3. Swiontkowski MF. Ipsilateral femoral shaft and hip fractures. Orthop Clin North Am 1987;18(1):72–84.
  4. Wu CC, Shih CH. Ipsilateral femoral neck and shaft fractures. Acta Orthop Scand 1991;62(4):346–351. DOI: 10.3109/17453679108994467.
  5. Wolinsky PR, Johnson KD. Ipsilateral femoral neck and shaft fractures. Clin Orthop Relat Res 1995;318:81–90.
  6. Wilde P, Griffiths J, Dooley B, et al. Management of supracondylar fractures of the femur with zickel supracondylar nails. Aust N Z J surg 1989;59(3):243–248. DOI: 10.1111/j.1445-2197.1989.tb01508.x.
  7. Tsai MC, Wu CC, Hsia CW. Reconstruction intramedullary nailing for ipsilateral femoral neck and shaft fractures: main factors determining prognosis. Chang Gung Med J 2009;32(5):32–53.
  8. Ramser J, Mihalko W, Carr J, et al. A comparison of femoral neck fixation with the reconstruction nail vs. cancellous screws in anatomical specimens. Clin Orthop 1993;290:189–196.
  9. Koldenhoven GA, Burke JS, Pierron R. Ipsilateral femoral neck and shaft fractures. South Med J 1997;90(3):288–293. DOI: 10.1097/00007611-199703000-00003.
  10. Bose WJ, Corces A, Anderson LD. A preliminary experience with the Russell-Taylor reconstruction nail for complex femoral fractures. J Trauma 1992;32(1):71–76. DOI: 10.1097/00005373-199201000-00015.
  11. Alho A, Ekeland A, Grøgaard B, et al. A locked hip screwintramedullary nail cephalomedullary nail for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft. J Trauma 1996;40(1):10–16. DOI: 10.1097/00005373-199601000-00003.
  12. Mohapatra NC, Sethy GC, Rana R. Ipsilateral fracture neck and shaft of femur: aprospective analysis of two methods. J Orthop Traumatol Rehabil 2017;9:17–20. DOI: 10.4103/jotr.jotr_16_16.
  13. Randelli P, Landi S, Fanton F, et al. Treatment of ipsilateral femoral neck and shaft fractures with the Russell-Taylor reconstructive nail. Orthopedics 1999;22(7):673–676.
  14. Hossam EM, Adel MH, Emad EY. Ipsilateral fracture of the femoral neck and shaft treatment by reconstruction interlocking nail. Arch Orthop Trauma Surg 2001;121(1-2):71–74. DOI: 10.1007/s004020000161.
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