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Ipsilateral Hip and Diaphyseal Fractures

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Practice of Intramedullary Locked Nails
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Ipsilateral hip and femoral shaft fractures are not uncommon combination fractures in high-energy trauma. Most reports show that diaphyseal fractures are comminuted, as the energy of trauma dissipates through shaft fractures [1, 4, 9, 11, 12, 16], while hip fractures remain relatively undisplaced or minimally displaced. This is one of the reasons why hip fractures are quite frequently missed in polytrauma patients with femoral shaft fractures [13]. It becomes apparent that careful radiological examination of the hip should always be done in all patients with femoral shaft fractures [14].

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References

  1. Alho A (1997) Concurrent ipsilateral fractures of the hip and shaft of the femur — a systematic review of 722 cases. Ann Chir Gynaecol 86:326–336

    PubMed  CAS  Google Scholar 

  2. Alho A, Ekaland A, Grøgaard B, Dokke JR (1996) A locked hip screw-intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft. J Trauma 40:10–16

    Article  PubMed  CAS  Google Scholar 

  3. Bennett FS, Zinar DM, Kilgus DJ (1993) Ipsilateral hip and femoral shaft fractures. Clin Orthop Relat Res 296:168–177

    PubMed  Google Scholar 

  4. Dümmer RE, Sanzana ES (1999) Hip dislocations associated with ipsilateral femoral neck fracture. Int Orthop SICOT 23:353–354

    Article  Google Scholar 

  5. Gill SS, Nagi ON, Dhillon MS (1990) Ipsilateral fractures of femoral neck and shaft. J Orthop Trauma 4:293–298

    Article  PubMed  CAS  Google Scholar 

  6. Haas NP, Schütz M, Mauch C, Hoffmann R, Südkamp NP (1995) Versorgung ipsilateraler Frakturen des Fe-murschaftes und des proximalen Femurs — Therapieübersicht und aktuelles Management. Zentralbl Chir 120:856–861

    PubMed  CAS  Google Scholar 

  7. Leung KS, So WS, Lam TP, Leung PC (1993) Treatment of ipsilateral femoral shaft fractures and hip fractures. Injury 24:41–45

    Article  PubMed  CAS  Google Scholar 

  8. Laporte C, Benazet JP, Scemama P, Castelain C, Saillant G (1999) Fractures homolatérales de la diaphyse et du col fémoral: éléments de choix thérapeutique. Rev Chir Orthop 85:24–32

    PubMed  CAS  Google Scholar 

  9. Müller EJ, Siebenrock K, Ekkernkamp A, Ganz R, Muhr G (1999) Ipsilateral fractures of the pelvis and the femur — floating hip? A retrospective analysis of 42 cases. Arch Orthop Trauma Surg 119:179–182

    Article  PubMed  Google Scholar 

  10. Ostermann PA, Henry SL (1994) Die Behandlung ipsila-teraler Femurschaft-und Schenkelhalsfrakturen mit dem Russell-Taylor-Rekonstruktionsnagel. Chirurg 65:1042–1045

    PubMed  CAS  Google Scholar 

  11. Pietro R, Stefano L, Francesco F, Gregory KH, Massimo M (1999) Treatment of ipsilateral femoral neck and shaft fractures with the Russell-Taylor reconstructive nail. Orthopaedics 22:673–676

    Google Scholar 

  12. Rami M, David S, Ronit W, Shaul S, Meir L (1998) Midshaft femoral fracture, concomitant ipsilateral hip joint injury, and disruption of the knee extensor mechanism: a unique triad of dashboard injury. Am J Orthop (June):465–473

    Google Scholar 

  13. Richard HD, Barry LR, Spencer LB (1991) Ipsilateral femoral neck and shaft fractures: an overlooked association. Skeletal Radiol 20:251–254

    Article  Google Scholar 

  14. Shuler TE, Gruen GS, DiTano O, Riemer BL (1997) Ipsilateral proximal and shaft femoral fractures: spectrum of injury involving the femoral neck. Injury 28:293–297

    Article  PubMed  CAS  Google Scholar 

  15. Simmermacher RKJ, Bosch AM (1999) The AO/ASIF-proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures. Injury Int J Care Injured 30:327–332

    CAS  Google Scholar 

  16. Wu CC, Shih CH, Chen LH (1993) Femoral shaft fractures complicated by fracture — dislocations of the ipsilateral hip. J Trauma 34:70–75

    Article  PubMed  CAS  Google Scholar 

  17. Wu HJ, Cheng YM, Lin S Y (1990) Ipsilateral hip and femoral shaft fractures treated with compression hip screw and long side-plate. Kaohsiung J Med Sci 6:251–256

    CAS  Google Scholar 

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© 2002 Springer-Verlag Berlin Heidelberg

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Leung, K.S. (2002). Ipsilateral Hip and Diaphyseal Fractures. In: Kempf, I., Leung, K.S., Grosse, A., Haarman, H.J.T.M., Seidel, H., Taglang, G. (eds) Practice of Intramedullary Locked Nails. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56337-9_2

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  • DOI: https://doi.org/10.1007/978-3-642-56337-9_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62962-4

  • Online ISBN: 978-3-642-56337-9

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