ArticleIndian journal of orthopaedics2013
Long proximal femoral nail in ipsilateral fractures proximal femur and shaft of femur.
Article in Indian journal of orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Surgical management of bifocal femoral fractures: a systematic review and pooled analysis of treatment with a single implant versus double implants.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Comparison of functional and radiological outcome of unstable intertrochanteric femur fractures treated using PFN and PFNA in patients with osteoporosis.Journal of orthopaedic case reports · 2024Article
- Surgical fixation of ipsilateral femoral neck and shaft fractures: a matter of debate?EFORT open reviews · 2023Review
- Article
- Article
- Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system.Journal of orthopaedic surgery and research · 2020Article
- [Evolution and principles of intramedullary locked nailing].Der Unfallchirurg · 2018Article
- Simultaneous Bilateral Intertrochanteric Fractures of the Femur: A Case Report and Review of the Literature.Cureus · 2017Article
- Delayed recognition of an ipsilateral femoral neck and shaft fracture leading to preventable subsequent complications: a case report.Patient safety in surgery · 2017Article
- Neglected Pipkin's fracture dislocation with bilateral femoral shaft fractures: an unusual combination.Journal of surgical case reports · 2015Article
- Surgical treatment of ipsilateral multi-level femoral fractures.Journal of orthopaedic surgery and research · 2015Article
- Author's reply.Indian journal of orthopaedics · 2014Article
- Long proximal femoral nail in ipsilateral fractures of proximal femur and shaft of femur.Indian journal of orthopaedics · 2014Article
- Intramedullary nailing in pertrochanteric fractures of the proximal femur.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
backgroundIpsilateral fractures of the proximal femur and femoral shaft are extremely uncommon injuries which occur in young adults who sustain a high energy trauma. A variety of management modalities have been tried to treat this complex fracture pattern ranging from conservative approach to recently introduced reconstruction nails. All these approaches have their own difficulties. We studied the outcome of long proximal femoral nail (LPFN) in the management of concomitant ipsilateral fracture of the proximal femur and femoral shaft. MATERIALS AND
methodsWe analysed the prospective data of 36 consecutive patients who had sustained a high energy trauma (30 closed fractures and 6 open shaft fractures) who had concomitant ipsilateral fractures of the femoral shaft associated with proximal femur fractures treated with LPFN between December 2005 and December 2011. The mean age was 39 years (range 28-64 years). Twenty nine males and seven females were enrolled for this study.
resultsThe patients were followed up at three, six, twelve, and eighteen months. The mean healing time for the neck fractures was 4.8 months and for the shaft fractures was 6.2 months. The greater trochanter was splintered and widened in two cases which eventually consolidated. Two patients had superficial infection, two patients had lateral migration of the screws with coxa vara which was due to severe osteoporosis detected during the followup. We had two cases of nonunion of shaft fracture and one case of nonunion of neck fracture. Two cases of avascular necrosis of femoral head were detected after 2 years of followup. No cases of implant failure were noted. Limb shortening of less than 2 cms was noted in four of our patients. The functional assessment system of Friedman and Wyman was used for evaluating the results. In our series 59.9% (n = 23) were rated as good, 30.6% (n = 11) as fair, and 5.5% (n = 2) as poor.
conclusionLong PFN is a reliable option for concomitant ipsilateral diaphyseal and proximal femur fractures.
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