Treatment of ipsilateral femoral neck and shaft fracture by augmented fixation via modified anterior approach: A case report

Lin Qi; Wei Zhang; Hua Chen

doi:10.1016/j.tcr.2022.100650

Treatment of ipsilateral femoral neck and shaft fracture by augmented fixation via modified anterior approach: A case report

Trauma Case Rep. 2022 Apr 27:39:100650. doi: 10.1016/j.tcr.2022.100650. eCollection 2022 Jun.

Authors

Lin Qi^{1

2}, Wei Zhang², Hua Chen²

Affiliations

¹ Chinese PLA Medical School, No.28 Fuxing Road, Haidian, Beijing 100853, China.
² Department of Orthopaedics, the First Medical Center, Chinese PLA General Hospital, No.28 Fuxing Road, Haidian, Beijing 100853, China.

Abstract

Case: A 39-year-old man with obsolete fracture of the left femoral neck (AO/OTA31B2.3, Pauwels III) and segmental fracture of the ipsilateral shaft (AO/OTA32C2) caused by traffic accident was treated by a hybrid augmented fixation technique, long reconstruction intramedullary nail combined with medial anatomical buttress plate and poller screws. All procedures were carried out via the modified anterior approach with a good exposure of the fracture site.

Conclusion: The hybrid augmented fixation technique via the modified anterior approach could improve fracture reduction and mechanical stability for ipsilateral femoral neck and shaft fractures.

Keywords: Anterior approach; Augmented fixation; Femoral neck fracture; Femoral shaft fracture.

Publication types

Case Reports