Ipsilateral Femoral Neck and Shaft Fracture
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2013, Vol 25, Issue 02
Abstract
Fracture of the ipsilateral femoral neck and shaft are not uncommon, but challenging combination of injuries encountered by Orthopedic Surgeons. Objective: Objective of this study was to evaluate the devastating complication of femoral head i.e. avascular necrosis and non union of femoral head and to determine outcome of DHS and cancellous screw fixation for its management. Patients and Methods: This prospective study was conducted in the Department of Orthopedic Surgery Sheikh Zayed Medical College/Hospital from 2008 to 2011. Diaphysial fracture of femur with neck fractures in 24 patients between 16 to 40 years were included in this study. Priority was given to neck fractures which was stabilized as early as patient’s general condition permitted with DHS and Screws and shaft Fracture was fixed with DCP and screws with or without bone grafting. The entire patients were mobilized after surgery on crutches except for patients having other associated injury within one week. Patients were fallowed until 02 years. Results: Union of fracture neck was achieved in 100% of patients treated with DHS and side plate and 78% treated with cannulated screws. Delayed union is 20% and non union 10% of patients treated with cannulated screw. Overall results of union of fracture neck of femur was graded as good union, achieved between 16-28 weeks (83.33%), fair union achieved between 29-46 weeks (8.33%), Poor, Union achieved between 46 weeks (8.33%). Conclusion: The findings of present study in concomitant fractures suggest that DHS with side plate is a good device for management of fracture of neck of femur in concomitant injury as no major complication was detected with this method.
Authors and Affiliations
NASEER AHMED CHAUDHARY, MUHAMMAD AZEEM, MUHAMMAD ZAFAR IQBAL, ASGHAR ALI CH.
Keywords
Related Articles
- EP ID EP742733
- DOI -
- Views 35
- Downloads 0
To Determine Frequency of Radial Inclination in Normal Wrists of Local Population.
Objective: To determine the radial inclination in normal wrists of our local population Materials and Methods: This is a descriptive cross-sectional study that was conducted upon 100 volunteers in the orthopedic surge...
Severity and Pattern of Bony Injuries among the Victims of Motorbike Accidents presented to the Accident and Emergency Department of a Tertiary Care Hospital in Karachi.
Objective: To determine the severity and pattern of bony injuries among the victims of motor bike motorbike accidents presented to the Accident and Emergency Department of Dr. Ruth K.M Pfau Civil Hospital Karachi. Metho...
The Effect of Obesity on Functional Outcome After Total Knee Arthroplasty
Objective: To evaluate the effect of obesity on functional outcome of TKA in terms of range of motion and knee society score. Methods: This is a prospective observational study. We included 350 consecutive patients in...
A Comparative Study of McKenzie Back Program and Conventional Physiotherapy in Relieving Backache due to Lumbar Disc Prolapse.
Objective: To compare McKenzie back program and conventional physiotherapy in reducing pain and functional disability in patients with backache due to lumbar disc prolapse. Methods: This randomized controlled trial wa...
ntraoperative Assessment of Mid-Flexion Instability in Primary Total Knee Replacement
Introduction: Midflexion instability in primary total knee replacement (TKR) is an evolving concept. Successful treatment of instability requires an understanding of the different types of instability. Methods: A lite...