Ipsilateral femoral neck and shaft fractures

Ipsilateral, concomitant femoral neck and shaft fracture is a rare fracture pattern encountered by orthopaedic surgeons. We review 11 cases of this fracture pattern. Treatment was by reduction and stabilization of the femoral neck fracture with one or more cannulated screws, followed by fixation of the femoral shaft using a Russell-Taylor reconstruction nail or a Russell-Taylor Delta reconstruction nail. When properly sequenced, this has proven to be a successful treatment method in these dual fractures, resulting in a low complication rate. No avascular necrosis of the femoral head or nonunion of either fracture site occurred. In our series, one patient with delayed union had varus angulation of 120 degrees of the femoral neck. Good functional outcome based on patients' ability to perform activities of daily living was achieved.