Femoral Neck-Shaft Fracture

• Treatment of ipsilateral femoral neck and femoral shaft fractures remains controversial.
• Generally treated with reduction and cannulated screw fixation of the femoral neck fracture followed by retrograde femoral nailing. Other options include antegrade cepholomedullary nail, DHS, etc.
• Non-displaced femoral neck fractures should be treated with cannulated screw fixation before femoral shaft treatment to avoid displacement of the femoral neck facture during shaft fixation.

Femoral Neck-Shaft Review References

• Watson JT, CORR 2002;399:78
• Wolinsky PR, Johnson KD: Ipsilateral femoral neck and shaft fractures.  Clin Orthop 1995;318:81-90.