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Ipsilateral femoral neck and shaft fractures: current diagnostic and treatment strategies. | LitMetric

AI Article Synopsis

  • Femoral neck fractures occur in 1% to 9% of patients with femoral shaft fractures, often going undiagnosed in about one-third of cases.
  • Careful evaluation of the femoral neck is crucial for patients who have suffered high-energy femoral shaft fractures.
  • Treatment should focus on anatomic reduction and stabilization of the femoral neck to prevent complications like nonunion, malunion, or avascular necrosis.

Article Abstract

Associated ipsilateral femoral neck fractures have been reported to occur in 1% to 9% of femoral shaft fractures. The associated femoral neck fracture is often nondisplaced, and the diagnosis is delayed or missed in up to one-third of cases. It is essential to carefully evaluate the femoral neck in all patients sustaining high-energy femoral shaft fractures. Although there are a number of different implant options available for management of this challenging injury, most authors recommend that priority be given to anatomic reduction and optimal stabilization of the femoral neck fracture because nonunion, malunion, or avascular necrosis of this injury is more difficult to successfully treat.

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Source
http://dx.doi.org/10.3928/01477447-20150402-05DOI Listing

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