Simultaneous fractures of the femoral neck and shaft are not common injuries, though they cannot be considered rare. Herein, we report our experience with a patient with bilateral occurance of this injury. Up to the best of our knowkedge this is the first case reported in literature in which correct diagnosis was made initially. Both femurs were fixed using broad 4.5 mm dynamic compression plate and both necks were fixed using 6.5 mm cannulated screws. Femur fixation on one side was converted to retrograde nailing because of plate failure. Both neck fractures healed uneventfully. In spite of rarity of concomitant fractures of femoral neck and shaft, this injury must be approached carefully demanding especial attention and careful device selection.
Tornetta P 3rd, Kain MS, Creevy WR. Diagnosis of femoral neck fractures in patients with a femoral shaft fracture, Improvement with a standard protocol. Bone Joint Surg Am. 2007; 89:39–43
Schatzker J, Barrington TW. Fractures of the femoral neck associated with fractures of the same femoral shaft. Can J Surg. 1968; 11(3):297-305.
Alho A. Concurrent ipsilateral fractures of the hip and shaft of the femur. A systematic review of 722 cases. Ann Chir Gynaecol. 1997; 86(4):326-36.
McDonald LS, Tepolt F, Leonardelli D, Hammerberg EM, Stahel PF. A cascade of preventable complications following a missed femoral neck fracture after antegrade femoral nailing. Patient Saf Surg. 2013, 23; 7(1):16.
Abalo A, Dossim A, Ouro Bangna AF, Tomta K, Assiobo A, Walla A. Dynamic hip screw and compression plate fixation of ipsilateral femoral neck and shaft fractures. J Orthop Surg (Hong Kong). 2008 Apr; 16(1):35-8.
Wiss DA, Sima W, Brien WW. Ipsilateral fractures of the femoral neck and shaft. J Orthop Trauma. 1992; 6:159–66.
Wu CC, Shih CH. Ipsilateral femoral neck and shaft fractures. Retrospective study of 33 cases. Acta Orthop Scand. 1991; 62:346–51.
Chen CH, Chen TB, Cheng YM, Chang JK, Lin SY, Hung SH. Ipsilateral fractures of the femoral neck and shaft. Injury. 2000; 31:719–22.
Alho A, Ekeland A, Grogaard B, Dokke JR. A locked hip screw-intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft. J Trauma. 1996; 40:10–6.
Wu LD, Wu QH, Yan SG, Pan ZJ. Treatment of ipsilateral hip and femoral shaft fractures with reconstructive intramedullary interlocking nail. Chin J Traumatol. 2004; 7:7–12.
Lin SH, Lo CW, Cheng SC, Kuo MY, Chin LS. Use of reconstruction nails to manage ipsilateral displaced femoral neck-shaft fractures: assessment of a new approach. J Orthop Surg (Hong Kong). 2002; 10(2):185-93.
Oh CW, Oh JK, Park BC, Jeon IH, Kyung HS, Kim SY, et al. Retrograde nailing with subsequent screw fixation for ipsilateral femoral shaft and neck fractures. Arch Orthop Trauma Surg. 2006; 126(7):448-53.
Alfonso D1, Vasquez O, Egol K. Concomitant ipsilateral femoral neck and femoral shaft fracture nonunions: a report of three cases and a review of the literature. Iowa Orthop J. 2006; 26:112-8.
Sadeghifar, A., & Saied, A. (2014). Bilateral Simultaneous Femoral Neck and Shafts Fractures – A Case Report. The Archives of Bone and Joint Surgery, 2(4), 268-271. doi: 10.22038/abjs.2014.3771
Amirreza Sadeghifar; Alireza Saied. "Bilateral Simultaneous Femoral Neck and Shafts Fractures – A Case Report". The Archives of Bone and Joint Surgery, 2, 4, 2014, 268-271. doi: 10.22038/abjs.2014.3771
Sadeghifar, A., Saied, A. (2014). 'Bilateral Simultaneous Femoral Neck and Shafts Fractures – A Case Report', The Archives of Bone and Joint Surgery, 2(4), pp. 268-271. doi: 10.22038/abjs.2014.3771
Sadeghifar, A., Saied, A. Bilateral Simultaneous Femoral Neck and Shafts Fractures – A Case Report. The Archives of Bone and Joint Surgery, 2014; 2(4): 268-271. doi: 10.22038/abjs.2014.3771