scholarly journals An Occult Ipsilateral Femoral Neck Fracture Associated With Mid-Shaft Femur Fracture

2020 ◽  
Vol 7 (4) ◽  
pp. 185-188
Author(s):  
Shahin Talebi ◽  
◽  
Shayan Amjadi ◽  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Intraoperative Imaging ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Adverse Outcomes ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Neck Fracture

Occult ipsilateral femoral neck fractures associated with femoral shaft fractures are frequently missed. They may lead to adverse outcomes, such as fracture displacement and delayed treatment followed by poor outcomes, including delayed union, malunion, nonunion, and osteonecrosis, which may lead to early arthroplasty. These adverse effects can be prevented by the awareness of this combined injury pattern, the adequate preoperative and intraoperative imaging of the femoral neck, and proper treatment. A 27-year-old man was admitted with a displaced fracture of the right femur. Fluoroscopic evaluation was performed after the intramedullary nailing of the shaft fracture. The evaluation revealed an ipsilateral displaced femoral neck fracture, which was fixed with two cannulated screw inserted anterior to the nail. Between 2% and 9% of all femoral shaft fractures are associated with ipsilateral femoral shaft fractures. This case report necessitates the increase of awareness for the presence of associated femoral shaft and neck fractures in patients undergoing antegrade femoral nailing. Also, we recommend appropriate preoperative, intraoperative, and postoperative imaging.

Iatrogenic femoral neck fracture during closed nailing of the femoral shaft fracture

2009 ◽  
Vol 35 (5) ◽  
pp. 479-481
Author(s):  
Juan Castellanos ◽  
Laura Garcia-Nuño ◽  
Jose María Cavanilles-Walker ◽  
Jaume Roca
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Neck Fracture

scholarly journals Peri-implant femoral shaft fracture in patient with healed femoral neck fracture treated operatively using Targon FN system

2019 ◽  
Vol 84 (3) ◽  
pp. 94-96
Author(s):  
Jan Poszepczyński ◽  
◽  
Krzysztof Andrzejewski ◽  
Radosław Grabowski ◽  
Jędrzej Lesman ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Neck Fracture

Diagnosis of Femoral Neck Fracture Associated With Femoral Shaft Fracture

2013 ◽  
Vol 27 (6) ◽  
pp. 325-330 ◽  
Author(s):  
Robert V. OʼToole ◽  
Lindsay Dancy ◽  
Adam R. Dietz ◽  
Andrew N. Pollak ◽  
Aaron J. Johnson ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Neck Fracture

scholarly journals Four Cases Caused Femoral Shaft Fracture after Operation of Femoral Neck Fracture

2004 ◽  
Vol 53 (2) ◽  
pp. 358-362
Author(s):  
Koji Takada ◽  
Tetsuo Nakano ◽  
Hiroshi Tsurukami ◽  
Ryuya Ochi ◽  
Yoshihiko Mizumoto ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Neck Fracture

Detection of Femoral Neck Fractures in Pediatric Patients With Femoral Shaft Fractures

2017 ◽  
Vol 37 (3) ◽  
pp. e164-e167 ◽  
Author(s):  
Lindsey Caldwell ◽  
Charles M. Chan ◽  
James O. Sanders ◽  
John T. Gorczyca
Keyword(s):  
Femoral Neck ◽  
Pediatric Patients ◽  
Femoral Shaft ◽  
Femoral Neck Fractures ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

scholarly journals Comparative Study of Management of Closed Comminuted Femoral Shaft Fractures with Closed Interlocking Intramedullary Nail and Open Reduction and Dynamic Compression Bridge Plating

2004 ◽  
Vol 43 (155) ◽  
Author(s):  
Bikram Prasad Shrestha ◽  
P Kumar ◽  
GK Singh
Keyword(s):  
Dynamic Compression ◽  
Femoral Shaft ◽  
Delayed Union ◽  
Permanent Disability ◽  
Femoral Shaft Fractures ◽  
Advantages And Disadvantages ◽  
Interlocking Nailing ◽  
Shaft Fractures ◽  
Segmental Fracture ◽  
Bridge Plating

Fracture shaft of the femur are life-threatening injuries and can cause severe permanent disability. Nowadays die interlocking nailing is regarded as the operative technique of choice for fracture shaft of femur. However, the advantages and disadvantages have rarely been compared with plate osteosynthesis. This is prospective study to compare the two methods of treatments in terms of time to union, hospital slay (including readmission), wound infection, shortening of limb, delayed union, malunion, joint stiffness and implant failure. 54 patients, age (16 to 66) years, were treated by DCP (22), and interlocking nail (24). Eight patients were lost to follow up. The study was conducted in Services Hospital, Department of Orthopaedics and Ittefaq Hospital, Lahore, Pakistan from June 1996 to Dec 1997. Written consent was taken regarding the type of surgery to be performed. Open fractures of Gustilo Grade n or in, femoral shaft fractures associated with other fractures of the same femur, fractures in immature skeleton and segmental fracture were excluded. Winquist and Hansen classification was used to classify fracture comminution. Patients were alternately allocated. In the plating group, primary bone grafting was done in all cases. Time to union in nailing group was 16.43t2.48 weeks and in plating 19.88±3.46 weeks, p-value<0.05. Mean hospital stay in nailing group was 12.8±2.75 day and plating group 21.1±2.73 days, p>0.05. There were 2 deep infections in the plating group and none in nailing group. There was no shortening of limb in die plating group but 2 patients in the nailing group had shortening of 2 cms. Delayed union occurred in 2 patients in nailing group but 5 in plating group. One patient in the nailing group had external rotation of at least 10 degrees and none in plating group. Two patients in the nailing group had knee stiffness and 6 patients in me plating group. One patient in the nailing group had a broken interlocking screw 2 patients in the plating group had bent plates. Closed interlocking intramedullary nailing as a method of treating closed communited femoral shaft fracture is better than plating in terms of rate of postoperative complication including infection.Key Words: Comminuted fractures shaft of femur, static interlocking nailing and bridge plating.

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