Ipsilateral Fractures of the Femoral Neck and Shaft: A Report of 4 Cases.
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概要
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During a half year period from December 1991 to July 1992, four cases of combined shaft and basal neck fractures of the same femur were admitted to our hospital. Three of them were male and all of them suffered multiple injuries due to high energy trauma. In all cases, the fractures at the shaft were typical transverse midshaft ones and the neck fractures were non or minimally displaced. In the earlier two cases, neck fractures were nondisplaced and in the first case, had not been detected until the union and removal of the medullary nail of the femoral shaft fracture. At that time, malunited neck fracture in varus was found and corrected by subtrochanteric osteotomy. In the second case, nondisplaced neck fracture was detected fortunately during medullary nailing of the shaft fracture and fixed with a proximal diagonal locking screw of the medullary nail. In the later two cases, minimally displaced neck fractures were diagnosed at the initial X-ray examination and the internal fixation of the neck and shaft fractures were performed with canulated cancellous screws and Ender nails, inserted percutaneously under fluoroscopy. In the case with a transverse midshaft fracture of the femur due to high energy injury, in addition to routine X-ray of the hip and Knee joint adjucent to fracture, correct two plane X-ray of femoral neck during operation is neccessary to exclude the presence of the nondisplaced neck fracture.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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