- 期刊
Ipsilateral Fractures of the Femoral Neck and Shaft - A Retrospective Study of 13 Cases
並列摘要
Ten of 13 patients with ipsilateral femoral neck and shaft fractures were treated with reamed antegrade intramedullary nails or with shaft plating and cancellous screws or with pins fixation for the femoral neck. Two patients were treated with bipolar hemiarthroplasty of femoral neck and plating of the shaft. One patient was treated with a compression hip screw (CHS) with long side plate. Eleven (85%) of the femoral shaft fractures healed primarily. In one patient, the nonunion was treated with a bone graft. Another was treated with plates and screws besides bone graft after removal of the Hoffmann external fixation device. Both fractures subsequently united. Nine (69%) of the femoral neck fractures healed after initial fixation. In one patient, varus angulation and nonunion received Meyers’ muscle pedicle bone grafting after removal of the shaft nail. Another patient with a Meyers’ muscle pedicle bone graft who developed nonunion received gluteal medium muscle pedicle bone grafting. One patient treated with CHS with long side plate developed osteonecrosis of the femoral head. Antegrade reamed intramedullary nailing or plating with concomitant medial cancellous graft with supplemental screws or pins fixation of the ipsilateral femoral neck and shaft fractures are recommended.
延伸閱讀
- Jean, J. L., Lee, C. H., Wang, S. J., Chang, J. H., Tang, H. L., Shy, C. G., Wu, S. S., & Lin, L. C. (2000). Quick Diagnosis of Non-displaced Fracture of the Femoral Neck: A Case Report. 中華放射線醫學雜誌, 25(6), 263-266. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200012-25-6-263-266-a
- Tseng, F. J., Wang, S. J., & Lin, L. C. (2001). Subcapital Femoral Neck Fractures Following Internal Fixation for Intertrochanteric Fractures. Journal of Orthopaedic Surgery Taiwan, 18(3), 144-148. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200109-18-3-144-148-a
- 楊崇光、池啟瑞、蘇志堅、魏寬毅（1997）。Management of Ipsilateral Femoral Shaft and Neck Fracture。The Kaohsiung Journal of Medical Sciences，13(12)，704-709。https://doi.org/10.6452/KJMS.199712.0704
- Wang, J. P., Huang, C. H., Su, R. Y., & Lai, J. H. (1984). Ipsilateral Fracture of Femoral Neck and Shaft. Journal of Orthopaedic Surgery Taiwan, 1(4), 146-153. https://www.airitilibrary.com/Article/Detail?DocID=10116923-198412-1-4-146-153-a
- Huang, S. H., Liu, A. L. J., & Chen, P. J. (2015). Treatment of Ipsilateral Basicervical Femoral Neck and Shaft Fractures with Cephalomedullary Nail (PFNA-II): Report of Two Cases and Review of Literature. Formosan Journal of Musculoskeletal Disorders, 6(1), 35-41. https://doi.org/10.6492/FJMD.2015.0601.005