Single Vs double implants in ipsilateral fracture shaft with neck of femur fracture: A comparative study

Abstract

Combined ipsilateral femoral neck and shaft fractures are uncommon and challenging injuies to manage. Treatment of these type of fractures are different and associated with high rate of complication. Choosing a right implant is necessary to get optimal results with minimal complication. To evaluate the functional, radiological and anatomical outcomes of these cases treated by single implant or individual implant for each fracture by osteosynthesis. A total of 20 patients with ipsilateral femoral neck and shaft fractures were included in our study. Patients were divided into single implant group (Group I; 10 patients) and multiple implants group (Group II; 10 patients). All the patients were followed up prospectively for two years. Fracture union was confirmed radiologically, and functional evaluation was done as per Harris Hip Score.70% of both groups achieved successful fracture union with the remaining 30% with either nonunion, malunion or necrosis of the femoral head but with no statistical significant difference between both the groups. Upon comparing single versus multiple implants methods nearly similar results; were clinically and radiologically obtained. However, it is difficult to draw a definite conclusion as the number of cases were relatively smaller. A study with a larger population scale probably can give a definite conclusion.