Cargando…

The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation

BACKGROUND: Combined ipsilateral femoral neck and shaft fractures are rare and present a challenging management dilemma. This study aims to assess the outcome of concomitant fixation of the ipsilateral femoral neck and shaft fracture using single versus dual surgical implants. METHODS: A single-cent...

Descripción completa

Detalles Bibliográficos
Autores principales: Alborno, Yahya, Abunimer, Abdullah, Abuodeh, Yousef, Salameh, Motasem, Kayali, Hammam, Ahmed, Ghalib
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Paris 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276091/
https://www.ncbi.nlm.nih.gov/pubmed/35781618
http://dx.doi.org/10.1007/s00590-022-03312-0
_version_ 1785060003250438144
author Alborno, Yahya
Abunimer, Abdullah
Abuodeh, Yousef
Salameh, Motasem
Kayali, Hammam
Ahmed, Ghalib
author_facet Alborno, Yahya
Abunimer, Abdullah
Abuodeh, Yousef
Salameh, Motasem
Kayali, Hammam
Ahmed, Ghalib
author_sort Alborno, Yahya
collection PubMed
description BACKGROUND: Combined ipsilateral femoral neck and shaft fractures are rare and present a challenging management dilemma. This study aims to assess the outcome of concomitant fixation of the ipsilateral femoral neck and shaft fracture using single versus dual surgical implants. METHODS: A single-center retrospective analysis of patients who underwent fixation of ipsilateral femoral neck and shaft fractures was performed over a 13-year period. Different techniques were employed to fix the complex injury. Both the reduction and the union time were assessed radiographically. RESULTS: A total of 36 patients with ipsilateral femoral neck and shaft fractures were retrospectively identified and included in the study. Twenty-four patients (66.6%) were managed with a single cephalomedullary nail, while the remaining cases were treated with two devices. All cases were operated on within an average of 3.7 ± 7.1 days. Eight patients (22.2%) developed postoperative complications. The average follow-up period was 7.3 ± 6.8 months. Although there was no statistically significant difference between the two groups, the femoral neck fractures showed shorter union time in patients treated with one implant compared to patients treated with two implants (3.0 ± 2.3 months vs. 4.2 ± 2.6 months). Another observation was that higher percentages of implant removal/failure and malunion/nonunion were seen in patients who had one implant compared to the two implants group (12.5% vs. 8.3%). CONCLUSION: Early surgical fixation of both fractures is associated with good outcome results. No difference in outcome was observed between both groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00590-022-03312-0.
format Online
Article
Text
id pubmed-10276091
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer Paris
record_format MEDLINE/PubMed
spelling pubmed-102760912023-06-18 The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation Alborno, Yahya Abunimer, Abdullah Abuodeh, Yousef Salameh, Motasem Kayali, Hammam Ahmed, Ghalib Eur J Orthop Surg Traumatol Original Article BACKGROUND: Combined ipsilateral femoral neck and shaft fractures are rare and present a challenging management dilemma. This study aims to assess the outcome of concomitant fixation of the ipsilateral femoral neck and shaft fracture using single versus dual surgical implants. METHODS: A single-center retrospective analysis of patients who underwent fixation of ipsilateral femoral neck and shaft fractures was performed over a 13-year period. Different techniques were employed to fix the complex injury. Both the reduction and the union time were assessed radiographically. RESULTS: A total of 36 patients with ipsilateral femoral neck and shaft fractures were retrospectively identified and included in the study. Twenty-four patients (66.6%) were managed with a single cephalomedullary nail, while the remaining cases were treated with two devices. All cases were operated on within an average of 3.7 ± 7.1 days. Eight patients (22.2%) developed postoperative complications. The average follow-up period was 7.3 ± 6.8 months. Although there was no statistically significant difference between the two groups, the femoral neck fractures showed shorter union time in patients treated with one implant compared to patients treated with two implants (3.0 ± 2.3 months vs. 4.2 ± 2.6 months). Another observation was that higher percentages of implant removal/failure and malunion/nonunion were seen in patients who had one implant compared to the two implants group (12.5% vs. 8.3%). CONCLUSION: Early surgical fixation of both fractures is associated with good outcome results. No difference in outcome was observed between both groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00590-022-03312-0. Springer Paris 2022-07-04 2023 /pmc/articles/PMC10276091/ /pubmed/35781618 http://dx.doi.org/10.1007/s00590-022-03312-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Alborno, Yahya
Abunimer, Abdullah
Abuodeh, Yousef
Salameh, Motasem
Kayali, Hammam
Ahmed, Ghalib
The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
title The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
title_full The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
title_fullStr The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
title_full_unstemmed The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
title_short The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
title_sort surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276091/
https://www.ncbi.nlm.nih.gov/pubmed/35781618
http://dx.doi.org/10.1007/s00590-022-03312-0
work_keys_str_mv AT albornoyahya thesurgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT abunimerabdullah thesurgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT abuodehyousef thesurgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT salamehmotasem thesurgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT kayalihammam thesurgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT ahmedghalib thesurgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT albornoyahya surgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT abunimerabdullah surgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT abuodehyousef surgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT salamehmotasem surgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT kayalihammam surgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation
AT ahmedghalib surgicaloutcomesoffixingipsilateralfemoralneckandshaftfracturessingleversusdoubleimplantsfixation