Chaturvedi S, Sahu S C
Department of Orthopaedics, S.N. Medical College, Agra, India.
Injury. 1993 Apr;24(4):243-6. doi: 10.1016/0020-1383(93)90178-9.
This paper is presented to review the treatment and diagnostic difficulties in cases of combined ipsilateral fracture of the neck and shaft of the femur. Only 83 cases, treated by various methods, have been reported in the literature. We treated 17 cases at our hospital during the period 1985 to 1991. Our present protocol for this double fracture is treatment with internal fixation as soon as possible. We did not have any bias for any kind of internal fixation devices; we made use of the implants for internal fixation which were most appropriate for that combination of fractures in that individual. In our series we followed the patients for 8 months to 5 years and the fractures united within 3 to 6 months. No major complications occurred, except infection in one case of open fracture. We conclude that both fractures should be fixed internally simultaneously and within 1 week, bearing in mind that individual cases may need special attention.
本文旨在综述同侧股骨颈和股骨干联合骨折病例的治疗及诊断难点。文献中仅报道了83例采用各种方法治疗的病例。我们医院在1985年至1991年期间治疗了17例。我们目前针对这种双骨折的治疗方案是尽快进行内固定。我们对任何一种内固定装置都没有偏好；我们使用的是最适合该个体骨折组合的内固定植入物。在我们的系列病例中，我们对患者进行了8个月至5年的随访，骨折在3至6个月内愈合。除1例开放性骨折发生感染外，未出现重大并发症。我们得出结论，两处骨折均应在1周内同时进行内固定，同时要记住个别病例可能需要特别关注。
