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Fracture of the ipsilateral neck of the femur in shaft nailing

Authors
 Kyu Hyun Yang  ;  Dae Yong Han  ;  Hui Wan Park  ;  Ho Jung Kang  ;  Jin Ho Park 
Citation
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol.80(4) : 673-678, 1998 
Journal Title
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME 
ISSN
 0301-620X 
Issue Date
1998
MeSH
Accidents, Traffic ; Acetabulum/injuries ; Bone Nails ; Femoral Fractures/diagnostic imaging ; Femoral Fractures/surgery* ; Femoral Neck Fractures/diagnostic imaging* ; Femoral Neck Fractures/etiology ; Femoral Neck Fractures/surgery ; Fluoroscopy ; Follow-Up Studies ; Fracture Fixation, Internal/instrumentation ; Fracture Fixation, Internal/methods ; Fracture Fixation, Intramedullary*/adverse effects ; Fracture Fixation, Intramedullary*/instrumentation ; Fracture Fixation, Intramedullary*/methods ; Fracture Healing ; Fractures, Bone/etiology ; Fractures, Comminuted/surgery ; Humans ; Iatrogenic Disease ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/etiology ; Joint Dislocations/surgery ; Patella/injuries ; Prospective Studies ; Radiography, Abdominal ; Radiography, Interventional ; Retrospective Studies ; Risk Factors ; Tomography, X-Ray Computed*
Abstract
We report retrospective and prospective studies to identify the causes of fracture of the femoral neck associated with femoral shaft nailing on the same side. Of a total of 14 neck fractures in a series of 152 shaft nailings, eight were not visible on the initial pelvic radiographs. We used CT scans before and after operation, and fluoroscopy during the procedure in our prospective series, and reviewed abdominal CT scans retrospectively with the window set to bone level. Six of the eight undisplaced fractures were shown to have been present before operation, but two were iatrogenic. We recommend the preoperative use of CT scans of the femoral neck in high-risk patients such as those with associated fractures of the acetabulum, the distal femur or the patella. Early diagnosis will allow better general management and early fixation of the neck fracture.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176708
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