Management of ipsilateral femoral neck and shaft fracture using reconstruction nail: A case report

Abstract

Abstract Ipsilateral fractures of femoral shaft and neck of femur fracture are rare but challenging and typically caused by high energy trauma. Review of literature shows various options for implants and surgical techniques for the treatment of Ipsilateral femoral neck shaft fractures but still none of them can be considered as standard, or even preferable. This is a case of 25 year old male who had suffered injury to his left hip and left thigh following an RTA. Radiographs of pelvis and thigh showed fracture of neck of right femur [basicervial] with fracture of shaft of right femur [junction of proximal 2/3rd and distal 1/3rd]. He was managed using reconstruction nail for both fractures 3 days after injury. The patient has attained bony union of both fractures in 8 months and was able to carry out his all routine activities and has attained good functional range of motion at hip and knee joint. We concluded that reconstruction nail is an acceptable implant for the management of ipsilateral neck and shaft of femur fracture with good radiological and clinical outcomes.