Femoral shaft fractures complicated by fracture- dislocations of the ipsilateral hip

Chi Chuan Wu*, Chun Hsiung Shih, Lih Huei Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

21 Scopus citations

Abstract

A series of 16 consecutive adults with femoral shaft fractures complicated by fracture-dislocations of the ipsilateral hip joint was prospectively studied. There were 11 posterior dislocations and five central dislocations. The treatment consisted of early closed reduction of the dislocation with the assistance of an external fixator, delayed reamed intramedullary nailing of the femoral fracture, and conservative or surgical treatment of the hip joint according to the indications. The follow-up period was 2-8 years (median, 3.5 years). Although an 18.8% (3 of 16) complication rate was noted, the outcome was satisfactory for all 16 hip joints. When such complicated combined injuries are sustained, the technique described here is the most reasonable treatment.

Original languageEnglish
Pages (from-to)70-75
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume34
Issue number1
DOIs
StatePublished - 01 1993
Externally publishedYes

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