整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
大腿骨骨幹部骨折髄内釘術後に判明した大腿骨頚部骨折の2例
西 佳子野村 一俊平野 真子橋本 伸朗福元 哲也浦田 伸一
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1999 年 48 巻 3 号 p. 839-843

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We present 2 cases of ipsilateral fractures of the hip and femoral shaft. Both cases were caused by road traffic accidents resalting in multiple injuries. The ware radiograph showed only femoral shaft fracture in the first diagnosis. After surgery for femoral shaft fracture with interlocking nailing, ipsilateral fracture of the hip was found in the post-operation radiogragh. As the ipsilateral facture of the hip and femoral shaft is caused by high energy trauma and the patient usually suffers multiple injuries, diagnosis of hip fracture is frequently misdiagnoled.
Fractures of the femoral neck may sometimes also be associated with technical errors during closed nailing of the femoral shaft. We recommend use of the routine hip radiograph when high energy trauma and care are required in the placement of the entry hole for intermedullary nailing.

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