Fixation of Shaft and Ipsilateral Neck Fracture of Femur Using Locking Compression Plate and Cannulated Cancellous Screws: A Case Series

Abstract

fracture of shaft and ipsilateral neck of femur is a challenging problem to Orthopaedics surgeons. Most of the cases seen in young adults and most of the times it follows severe road traffic accident. Here we are presenting 5 cases of ipsilateral fracture shaft of femur with neck fracture, in young adults attending Regional Institute of Medical Sciences, Imphal OPD and emergency. All cases were of closed fractures. Mean age of the patients were 41.8 years. All the cases were diagnosed initially by X-rays and then CT scan with 3D reconstruction was done for neck fractures. Cannulated cancellous screw fixation was done for neck fractures with 3 screws and locking compression plating was done for shaft fractures. Clinically mean union time for neck fracture was 3.4 months and clinical and radiological union time for shaft was 4.5 months. No case was diagnosed with avascular necrosis or nonunion. Our study suggests that cannulated cancellous screw fixation and compression locking plating for ipsilateral neck and shaft fractures of femur in carefully selected patients, of younger age group gives good result. Though other better modalities of treatment are available, this method also gives comparable result.