Key result
Reconstruction-type intramedullary nailing and plate combinations both achieved acceptable functional outcomes for ipsilateral femoral neck and shaft fractures, with no significant differences.
Why the study?
Does cancellous lag screws or DHS combined with compression plate fixation compared to reconstruction-type intramedullary nailing improve outcomes in patients with ipsilateral femoral neck and shaft fractures?
Cohort (n=24)
No
Does cancellous lag screws or DHS combined with compression plate fixation compared to reconstruction-type intramedullary nailing improve outcomes in patients with ipsilateral femoral neck and shaft fractures?
Absolute Event Rate: 72% vs 61%
Both plate combinations and reconstruction-type intramedullary nailing achieve acceptable functional results for treating ipsilateral femoral neck and shaft fractures.
Either plating or nailing yields acceptable outcomes in ipsilateral femoral fractures; supports observational data but leaves open randomized comparison of fixation choice.
Background: Ipsilateral femoral neck and shaft fractures are extraordinary wounds that present a surgical challenge. It happens in roughly 6% to 9% of all femoral shaft fractures. In spite of this moderately basic introduction, decision-making frequently is troublesome. The principle target of this article is to think about treatment techniques in ipsilateral femoral neck and shaft fractures. Materials and Methods: A sum of 24 patients with ipsilateral femoral neck and shaft decision-making fractures were treated with PFNA-long or different plate mixes. We isolated patients into two gatherings. Gathering I included 13 patients who experienced surgery with cancellous lag screws or dynamic hip screws (DHS) joined with compression plate fixation. Gathering II included 11 patients who experienced surgery with reconstruction-type intramedullary nailing. Result: The mean age was 31 and 34 years in Group I and Group II, respectively. The normal follow-up periods were 19.9 and 20.2 months for bunches I and II, separately. Normal union time for femoral neck crack in Group I and Group II were 13.7 and 15.1 weeks, individually, and for shaft breaks, these time were 19 and 21 weeks, separately. There were 8 (61%) great, 4 (30%) reasonable practical outcomes in Group I. There were 8 (72%) great, 2 (19%) reasonable, and 1 (10%) poor practical outcomes in Group II. One instance of embed disappointment and nonunion of the femoral shaft fracture happened in group I. Conclusion: Both treatment strategies accomplished acceptable useful results in patients with ipsilateral basicervical femoral neck and shaft fractures.
No takes yet. Share an insight, caveat, or question.
Krishna Kharel (2017) conducted a cohort in Ipsilateral femoral neck and shaft fractures (n=24). Reconstruction-type intramedullary nailing vs. Cancellous lag screws or dynamic hip screws combined with compression plate fixation was evaluated on Great practical outcome. Reconstruction-type intramedullary nailing and plate combinations both achieved acceptable functional outcomes for ipsilateral femoral neck and shaft fractures, with no significant differences.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: