We reviewed 5 cases of combine femoral fractures treated at our hospital since 1988. There were four males and one female patrent and the mean age at the time of injury was thirty nine years (range, 7-59 years). Four cases were right-sided kachires, the other one on the left. Two of five patients had intracapsular femoral neck fractures and two had extracapsular fractures. All resulted from high-energy impaction injuries. The average follow-up was 25.4 months (range, 7-44 months) with four patients achieving good results and acceptable. Ipsilateral fractures of the femoral neck and shaft should be stabilized by internal fixation as early as possible. Interlocking nailing and Knowles' pins seem to be effective in the treatment of the ipsilateral femoral neck and shaft fractures.
