Treatment of ipsilateral femoral shaft fractures and hip fractures.

Ipsilateral femoral shaft fractures and hip fractures are difficult to treat. The treatment protocols are diversified. We report the results of treating 16 such fractures. The diaphyseal fractures are fixed with intramedullary locked nails and the hip fractures with cannulated lag screws. The average follow-up period is 21.8 months. The results show that all diaphyseal fractures healed, one proximal fracture had delayed union. Functionally, 14 (87.5 per cent) patients had good results and two (12.5 per cent) had fair results; additional procedures may be necessary if the treatment of fractures is delayed. It is concluded that the present treatment protocol gives predictable good results for these fractures. The use of the newly available long gamma nail is also discussed and illustrated.