We reviewed eight cases of associated ipsilateral fractures of the hip and femoral shaft treated at our hospital since 1970. There were seven males and one female. Their ages ranged from twenty-one to sixty-five years (average, forty-eight years). Three patients had fractures involved in the left side and five in the right.
The were three intracapsular and five extracapsular fractures of the hip. The shaft of the ipsilateral femur was fractured in the middle third in all cases. There was no open fracture in the hip and the femur. None of our patients had associated ipsilateral knee injury, pulmonary and other severe complications except only for a case of subdural hemorrhage. The majority of our patients were involved in motor-vihicle accidents: five were motorcyclists.
The average follow-up was 6.4 years and the range was five months to seventeen years. At the time of follow-up, most patients had normal R. O. M. of the hip and A. D. L. All fractures were followed to union. One femoral neck fracture was missed on initial evaluation.
There was no case of aseptic necrosis.
Ender pins were useful and were employed in recent four patients and in one augmenting the neck-fracture fixation with Hagie pins. Whatever method of treatment is chosen, anatomical reduction and stable internal fixation of intracapsular fractures of the hip is thought to be mandatory.
