同側大腿骨頚部・骨幹部複合骨折の術後成績

抄録

We reviewed five cases of ipsilateral fractures of the femoral neck and shaft treated at our hospital since 1997. They were all males. Their ages ranged from 23 to 66 years (average: 39.6 years). All injuries resulted from high energy trauma. There were four intracapsular femoral neck fractures and one extracapsular fracture. There were no open fractures. All patients were treated with reconstruction nail. The average follow-up was 22 months. At follow-up, all patients had achieved good results and all fractures were followed to union. There was no case of avascular necrosis of the femoral head.
Ipsilateral fractures of the femoral neck and shaft should be stabilized by internal fixation as early as possible. The reconstruction nail is useful for providing superior stabilization with a single implant.