Annales chirurgiae et gynaecologiae
The most recent articles from:
Ann Chir Gynaecol
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Meta Analysis
Concurrent ipsilateral fractures of the hip and shaft of the femur. A systematic review of 722 cases.
Ipsilateral fracture of the hip and femoral shaft is encountered in high-energy trauma, and warrants special diagnostic and therapeutic considerations, which are not available in any single report. Therefore, a meta-analysis was performed. ⋯ Early diagnosis of all injuries and operative treatment of all fracture components are the key factors in reducing complications and improving the outcome in ipsilateral hip and shaft fractures. Locked nails and hip screws yield improved results compared with plates and unlocked nails combined with hip screws. Cephalo-medullary nails have yielded results similar to the first-generation locked nails.