Treatment Evaluation of Concomitant Femoral Neck and Shaft Fractures

Abstract

Background: To evaluate the results of fixation of
fracture neck of femur associated with fracture shaft of
femur, by reconstruction nail or lag screws with
conventional nail system.
Methods: In this descriptive study, 22 patients, with
ipsilateral femoral neck and shaft fracture were included.
Reconstruction nails were used in 16 cases and cancellous
lag screws in 06 cases, where femur had been already
fixed with k nail and interlocking nail.
Results: Majority (90.9%) were male. Complex fracture
of femoral shaft and neck was seen in 72.72%. In majority
( 81.81%) %) type II Gorden Fracture took place.Patients
were mobilized on crutches on second day of surgery and
were not allowed weight bearing till union of neck of
femur. No case of avascular necrosis or non union of neck
fracture was noted.
Conclusion: Reduction of neck fracture is the key
factor for good outcome. Patients with complex fractures
requires minimally invasive techniques. There should be
lesser soft tissue dissection to prevent complications.
Where reconstruction nail is not possible two to three lag
screws with good reduction of neck of femur has
satisfactory results.