Ipsilateral femoral shaft and neck fractures are difficult to treat. From 1989 to 1998, we treated 18 patients with these complex fractures. There were 14 male and 4 female with an average age of 40 years. Most resulted from high-energy trauma. The average follow-up period is 41 months. All but one of the fractures united well. The mean time to union is 5.2 ± 2.3 months in the diaphysis and 4.16 ± 2 months in the neck. No cases of the femoral neck fracture or osteonecrosis of the femoral head were observed during the follow-up period. Fourteen cases were treated with a standard protocol of plates for diaphyseal fractures and lag screws or dynamic hip screws (DHS) fixations for the femoral neck fractures. There were 13 good and 1 fair functional results. Two neglected neck fractures were treated with interlocking nailing for diaphyseal fracture with fair results. We conclude that a plate on the shaft and sliding hip screws or separate screws in the hip is a reliable method for ipsilateral femoral neck and shaft fractures. (C) 2000 Elsevier Science Ltd.
Chen, C. H., Chen, T. B., Cheng, Y. M., Chang, J. K., Lin, S. Y., & Hung, S. H. (2000). Ipsilateral fractures of the femoral neck and shaft. Injury, 31(9), 719–722. https://doi.org/10.1016/S0020-1383(00)00096-6