Why the study?
Does dynamic hip screw fixation alone or in combination with dynamic compression plate result in fracture healing in patients with ipsilateral femoral shaft and femoral neck fractures?
Does dynamic hip screw fixation alone or in combination with dynamic compression plate result in fracture healing in patients with ipsilateral femoral shaft and femoral neck fractures?
Dynamic hip screw fixation alone or with a dynamic compression plate is an effective technique for achieving union in ipsilateral femoral neck and shaft fractures.
Supports DHS in ipsilateral femoral fractures; hypothesis-generating and should not yet change practice.
We studied 43 patients with ipsilateral femoral shaft and femoral neck fractures who had dynamic hip screw fixation alone or in combincation with dynamic compression plate. All patients except two were diagnosed early; 37 patients had other associated injuries. There were 41 males and two females. The follow-up ranged from eight months to four years (mean 2-1/2 years). Six patients were lost to follow-up. Fracture of the neck of the femur healed in all 37 patients. Four patients had delayed union and two patients developed nonunion of the shaft of the femur. The aim of this paper is to show our experience and results using one technique for the treatment of such fractures.
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Al-Zahrani et al. (1993) studied this question.
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