Shamma, A., Hassan, M., Agour, A. (2019). Ipsilateral Femoral Neck and Shaft Fracture Management Single Implant versus Multiple Implants. The Egyptian Journal of Hospital Medicine, 76(6), 4279-4284. doi: 10.21608/ejhm.2019.43808
Ahmed AbdElhamid Shamma; Mohammed AbdElaziz Hassan; Ahmed Mohammed Saber Agour. "Ipsilateral Femoral Neck and Shaft Fracture Management Single Implant versus Multiple Implants". The Egyptian Journal of Hospital Medicine, 76, 6, 2019, 4279-4284. doi: 10.21608/ejhm.2019.43808
Shamma, A., Hassan, M., Agour, A. (2019). 'Ipsilateral Femoral Neck and Shaft Fracture Management Single Implant versus Multiple Implants', The Egyptian Journal of Hospital Medicine, 76(6), pp. 4279-4284. doi: 10.21608/ejhm.2019.43808
Shamma, A., Hassan, M., Agour, A. Ipsilateral Femoral Neck and Shaft Fracture Management Single Implant versus Multiple Implants. The Egyptian Journal of Hospital Medicine, 2019; 76(6): 4279-4284. doi: 10.21608/ejhm.2019.43808
Ipsilateral Femoral Neck and Shaft Fracture Management Single Implant versus Multiple Implants
1Department of Orthopedic Surgery, Faculty of Medicine, Al Azhar University, Egypt
2Department of Orthopedic Surgery, Elbajour General Hospital,Menoufia, Egypt
Abstract
Introduction: Fracture of shaft and ipsilateral neck of femur is a challenging problem to orthopaedics surgeons. The treatment is often difficult, and there are many protocols for the management of these fractures. Objectives: To assess the efficiency of multiple implants method for management of ipsilateral fracture neck and shaft femur using plate and screws or retrograde nail for femoral shaft fractures and cannulated screws or sliding hip screw for femoral neck fracture, evaluate the efficiency of reconstruction nail as a single implant method for management of fracture both neck and shaft femur as well as to compare the results of two management methods. Material and Methods: A total of 20 adult patients with ipsilateral femoral neck and shaft fractures were included in our study. Standard radiographs were obtained. Patients were divided into single implant group (Group I; 10 patients) and multiple implants group (Group II; 10 patients). All patients were followed prospectively for a minimum of 1 year. Fracture union was confirmed radiologically, and functional evaluation was done as per Harris Score. Results: 70% of both groups achieved successful fracture union with the remaining 30% with either nonunion, malunion or necrosis of the femoral head but with non- significant difference between both groups. Conclusion: Upon comparing single versus multiple implants methods, equivalent results, were clinically and radiologically obtained with both techniques. However, it is difficult to draw a definite conclusion as the number of cases is relatively small. A study with a larger population scale probably gives a definite conclusion.
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