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

<h3>Background</h3><p dir="ltr">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 versu...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Yahya Alborno (14158818) (author)
مؤلفون آخرون: Abdullah Abunimer (14146788) (author), Yousef Abuodeh (14146791) (author), Motasem Salameh (14146794) (author), Hammam Kayali (14146797) (author), Ghalib Ahmed (14146800) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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_version_ 1864513556011024384
author Yahya Alborno (14158818)
author2 Abdullah Abunimer (14146788)
Yousef Abuodeh (14146791)
Motasem Salameh (14146794)
Hammam Kayali (14146797)
Ghalib Ahmed (14146800)
author2_role author
author
author
author
author
author_facet Yahya Alborno (14158818)
Abdullah Abunimer (14146788)
Yousef Abuodeh (14146791)
Motasem Salameh (14146794)
Hammam Kayali (14146797)
Ghalib Ahmed (14146800)
author_role author
dc.creator.none.fl_str_mv Yahya Alborno (14158818)
Abdullah Abunimer (14146788)
Yousef Abuodeh (14146791)
Motasem Salameh (14146794)
Hammam Kayali (14146797)
Ghalib Ahmed (14146800)
dc.date.none.fl_str_mv 2022-07-04T06:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s00590-022-03312-0
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_surgical_outcomes_of_fixing_ipsilateral_femoral_neck_and_shaft_fractures_single_versus_double_implants_fixation/21591006
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Femur
Fracture fixation
Ipsilateral
Neck
Union
dc.title.none.fl_str_mv The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">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.</p><h3>Methods</h3><p dir="ltr">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.</p><h3>Results</h3><p dir="ltr">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%).</p><h3>Conclusion</h3><p dir="ltr">Early surgical fixation of both fractures is associated with good outcome results. No difference in outcome was observed between both groups.</p><p dir="ltr">Correction to: The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation: https://doi.org/10.1007/s00590-022-03411-y, published online 15 October 2022.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00590-022-03312-0" target="_blank">http://dx.doi.org/10.1007/s00590-022-03312-0</a></p>
eu_rights_str_mv openAccess
id Manara2_8e6599e2013965cf8817f28a7678c59a
identifier_str_mv 10.1007/s00590-022-03312-0
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/21591006
publishDate 2022
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spelling The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixationYahya Alborno (14158818)Abdullah Abunimer (14146788)Yousef Abuodeh (14146791)Motasem Salameh (14146794)Hammam Kayali (14146797)Ghalib Ahmed (14146800)Biomedical and clinical sciencesClinical sciencesFemurFracture fixationIpsilateralNeckUnion<h3>Background</h3><p dir="ltr">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.</p><h3>Methods</h3><p dir="ltr">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.</p><h3>Results</h3><p dir="ltr">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%).</p><h3>Conclusion</h3><p dir="ltr">Early surgical fixation of both fractures is associated with good outcome results. No difference in outcome was observed between both groups.</p><p dir="ltr">Correction to: The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation: https://doi.org/10.1007/s00590-022-03411-y, published online 15 October 2022.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00590-022-03312-0" target="_blank">http://dx.doi.org/10.1007/s00590-022-03312-0</a></p>2022-07-04T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00590-022-03312-0https://figshare.com/articles/journal_contribution/The_surgical_outcomes_of_fixing_ipsilateral_femoral_neck_and_shaft_fractures_single_versus_double_implants_fixation/21591006CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215910062022-07-04T06:00:00Z
spellingShingle The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
Yahya Alborno (14158818)
Biomedical and clinical sciences
Clinical sciences
Femur
Fracture fixation
Ipsilateral
Neck
Union
status_str publishedVersion
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 The surgical outcomes of fixing ipsilateral femoral neck and shaft fractures: single versus double implants fixation
topic Biomedical and clinical sciences
Clinical sciences
Femur
Fracture fixation
Ipsilateral
Neck
Union