Clinical analysis of ipsilateral femoral neck or intertrochanter and shaft fractures

Objective: To investigate the clinical features, reasons for missed diagnosis and clinical effect about ipsilateral femoral neck or intertrochanter and shaft fractures. Methods: There were seven patients suffered ipsilateral femoral neck or intertrochanter and shaft fractures from August 1999 to August 2000. After retrospective analysis and follow-up, clinical experience and effect were summarized. All cases were followed up; the average was 42.6 months. Results: The diagnosis of three femoral neck and one intertrochanter fractures were missed out. One femoral shaft fracture ununioned, the other delayed unioned. One femoral neck and one intertrochanter fracture ununioned. The clinical effect was three good, two fair and two poor. Conclusion: The high quality X-ray film including whole femora or CT scan at hip joints should be examined for the patient whose thigh was injuried longitudinally, especially with middle femoral shaft fracture. Early diagnosis, anatomic reduction and rigid fixation for the femoral neck or intertrochanter fractures were the key of good prognosis.