Ipsilateral femoral neck and shaft fractures: An analysis of two treatment methods

Author(s): Dr Krishna Kharel

Abstract: Background: Ipsilateral femoral neck and shaft fractures are extraordinary wounds that present a surgical challenge. It happens in roughly 6% to 9% of all femoral shaft fractures. In spite of this moderately basic introduction, decision-making frequently is troublesome. The principle target of this article is to think about treatment techniques in ipsilateral femoral neck and shaft fractures. Materials and Methods: A sum of 24 patients with ipsilateral femoral neck and shaft decision-making fractures were treated with PFNA-long or different plate mixes. We isolated patients into two gatherings. Gathering I included 13 patients who experienced surgery with cancellous lag screws or dynamic hip screws (DHS) joined with compression plate fixation. Gathering II included 11 patients who experienced surgery with reconstruction-type intramedullary nailing. Result: The mean age was 31 and 34 years in Group I and Group II, respectively. The normal follow-up periods were 19.9 and 20.2 months for bunches I and II, separately. Normal union time for femoral neck crack in Group I and Group II were 13.7 and 15.1 weeks, individually, and for shaft breaks, these time were 19 and 21 weeks, separately. There were 8 (61%) great, 4 (30%) reasonable practical outcomes in Group I. There were 8 (72%) great, 2 (19%) reasonable, and 1 (10%) poor practical outcomes in Group II. One instance of embed disappointment and nonunion of the femoral shaft fracture happened in group I. Conclusion: Both treatment strategies accomplished acceptable useful results in patients with ipsilateral basicervical femoral neck and shaft fractures.

DOI: https://doi.org/10.22271/ortho.2017.v3.i3k.116