Ipsilateral hip and femoral shaft fractures are not uncommon combination fractures in high-energy trauma. Most reports show that diaphyseal fractures are comminuted, as the energy of trauma dissipates through shaft fractures [1, 4, 9, 11, 12, 16], while hip fractures remain relatively undisplaced or minimally displaced. This is one of the reasons why hip fractures are quite frequently missed in polytrauma patients with femoral shaft fractures [13]. It becomes apparent that careful radiological examination of the hip should always be done in all patients with femoral shaft fractures [14].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Alho A (1997) Concurrent ipsilateral fractures of the hip and shaft of the femur — a systematic review of 722 cases. Ann Chir Gynaecol 86:326–336
Alho A, Ekaland A, Grøgaard B, Dokke JR (1996) A locked hip screw-intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft. J Trauma 40:10–16
Bennett FS, Zinar DM, Kilgus DJ (1993) Ipsilateral hip and femoral shaft fractures. Clin Orthop Relat Res 296:168–177
Dümmer RE, Sanzana ES (1999) Hip dislocations associated with ipsilateral femoral neck fracture. Int Orthop SICOT 23:353–354
Gill SS, Nagi ON, Dhillon MS (1990) Ipsilateral fractures of femoral neck and shaft. J Orthop Trauma 4:293–298
Haas NP, Schütz M, Mauch C, Hoffmann R, Südkamp NP (1995) Versorgung ipsilateraler Frakturen des Fe-murschaftes und des proximalen Femurs — Therapieübersicht und aktuelles Management. Zentralbl Chir 120:856–861
Leung KS, So WS, Lam TP, Leung PC (1993) Treatment of ipsilateral femoral shaft fractures and hip fractures. Injury 24:41–45
Laporte C, Benazet JP, Scemama P, Castelain C, Saillant G (1999) Fractures homolatérales de la diaphyse et du col fémoral: éléments de choix thérapeutique. Rev Chir Orthop 85:24–32
Müller EJ, Siebenrock K, Ekkernkamp A, Ganz R, Muhr G (1999) Ipsilateral fractures of the pelvis and the femur — floating hip? A retrospective analysis of 42 cases. Arch Orthop Trauma Surg 119:179–182
Ostermann PA, Henry SL (1994) Die Behandlung ipsila-teraler Femurschaft-und Schenkelhalsfrakturen mit dem Russell-Taylor-Rekonstruktionsnagel. Chirurg 65:1042–1045
Pietro R, Stefano L, Francesco F, Gregory KH, Massimo M (1999) Treatment of ipsilateral femoral neck and shaft fractures with the Russell-Taylor reconstructive nail. Orthopaedics 22:673–676
Rami M, David S, Ronit W, Shaul S, Meir L (1998) Midshaft femoral fracture, concomitant ipsilateral hip joint injury, and disruption of the knee extensor mechanism: a unique triad of dashboard injury. Am J Orthop (June):465–473
Richard HD, Barry LR, Spencer LB (1991) Ipsilateral femoral neck and shaft fractures: an overlooked association. Skeletal Radiol 20:251–254
Shuler TE, Gruen GS, DiTano O, Riemer BL (1997) Ipsilateral proximal and shaft femoral fractures: spectrum of injury involving the femoral neck. Injury 28:293–297
Simmermacher RKJ, Bosch AM (1999) The AO/ASIF-proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures. Injury Int J Care Injured 30:327–332
Wu CC, Shih CH, Chen LH (1993) Femoral shaft fractures complicated by fracture — dislocations of the ipsilateral hip. J Trauma 34:70–75
Wu HJ, Cheng YM, Lin S Y (1990) Ipsilateral hip and femoral shaft fractures treated with compression hip screw and long side-plate. Kaohsiung J Med Sci 6:251–256
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Leung, K.S. (2002). Ipsilateral Hip and Diaphyseal Fractures. In: Kempf, I., Leung, K.S., Grosse, A., Haarman, H.J.T.M., Seidel, H., Taglang, G. (eds) Practice of Intramedullary Locked Nails. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56337-9_2
Download citation
DOI: https://doi.org/10.1007/978-3-642-56337-9_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-62962-4
Online ISBN: 978-3-642-56337-9
eBook Packages: Springer Book Archive