Abstract
Aims: To compare clinical results of three different þxation combinations used for the treatment of ipsilateral hip and femoral diaphysial fractures. Methods: Between March 1999 and May 2001, 17 patients with ipsilateral hip and femur diaphysis fractures treated either by using cannulated screws for hip and plate-screw osteosynthesis for diaphysis (GroupI, 5 patients), dynamic hip screw for hip and plate-screws for diaphysis (Group II, 4 patients) and cannulated screws for hip and retrograde intramedullary nailing for diaphysis (Group III, 8 patients). Mean follow up was 24,4 months (16–33). All data retrospectively reviewed and compared using SPSS 10,0 package. Results: Age, sex, Injury Severity Scores, additional traumas, causes of trauma, þrst hemoglobine levels and complications were not different for either three groups. However, Group III had much lower operation times, perioperative transfusion needs and healing times for the diaphysial fractures compared to Groups I and II. All varus angulations at hip fractures observed in Groups I and III. We did not observe any avascular necrosis of the femoral head at latest follow up in either groups. Conclusions: All above mentioned þxation combinations can be used for the treatment of this difþcult fracture combination. However, by using retrograde nailing for the diaphysis and cannulated screws for the hip fracture, one can decrease operation times, blood transfussion needs and time to full weight bearing without increasing complications. We propose that, retrograde nailing combined with percutaneous screws should be the choice of treatment with decreased soft tissue dissection, accelerated rehabilitation and possible increased rate of healing.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
