{
    "abstract": "Ipsilateral proximal and shaft femoral fractures typically occur in young adults after high-energy trauma. No consensus exists regarding the optimal internal fixation device or surgical strategy for these complex fractures. Our main objective is to identify differences on outcomes and complications between patients treated with one or combined implants.\nThis is a single-center retrospective cohort study in patients with associated fractures of the proximal (31 AO) and shaft femur (32 AO). We divided the patients into two groups according to the use of single (Group I) or combined implants (Group II). Demographic, clinical, radiological, surgical data and development of complications were collected.\nWe identified 28 patients (19 men and 9 women) with an average age of 43 years. We used an anterograde femoral nail in group I (17 patients) and a retrograde femoral nail or a plate associated with hip lag screws or sliding hip screw in Group II (11 patients). Patients were followed up for 26.28 (9.12-62.88) months. Osteonecrosis of the femoral head, osteoarthritis, infection or nonunion was found in 9 patients (32%). No significant differences (p 0.70) were found in complications between two groups or between definitive surgical fixation before or after the first 24h.\nNo differences in the development of complications or timing of definitive fixation were found between the use of one or combined implants in ipsilateral proximal femur and shaft fractures. Regardless of the implant chosen, an appropriate osteosynthesis technique is crucial, even so high complication rates are expected.\nIV. Grade of Recommendation: C.",
    "authors": [
        {
            "affiliation": "Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 Octubre, Madrid, Spain. Electronic address: Jorgega_93@hotmail.com.",
            "firstname": "J G",
            "initials": "JG",
            "lastname": "Alcaraz"
        },
        {
            "affiliation": "Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 Octubre, Madrid, Spain.",
            "firstname": "E A",
            "initials": "EA",
            "lastname": "Fernandez"
        },
        {
            "affiliation": "Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 Octubre, Madrid, Spain.",
            "firstname": "I A",
            "initials": "IA",
            "lastname": "Mart\u00edn"
        },
        {
            "affiliation": "Department of Orthopaedic Surgery and Traumatology, Hospital General de Nuestra Se\u00f1ora del Prado, Talavera, Spain.",
            "firstname": "D B",
            "initials": "DB",
            "lastname": "Recuenco"
        },
        {
            "affiliation": "Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 Octubre, Madrid, Spain.",
            "firstname": "C O",
            "initials": "CO",
            "lastname": "Gonz\u00e1lez"
        },
        {
            "affiliation": "Department of Orthopaedic Surgery and Traumatology, Hospital Universitario 12 Octubre, Madrid, Spain.",
            "firstname": "A C",
            "initials": "AC",
            "lastname": "Agundez"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2023 SECOT. Publicado por Elsevier Espa\u00f1a, S.L.U. All rights reserved.",
    "doi": "10.1016/j.recot.2023.03.007",
    "journal": "Revista espanola de cirugia ortopedica y traumatologia",
    "keywords": [
        "Complex femur fracture",
        "Femoral shaft fracture",
        "Fractura bifocal de f\u00e9mur",
        "Fractura compleja de f\u00e9mur",
        "Fractura de di\u00e1fisis femoral",
        "Fractura de f\u00e9mur proximal",
        "Fractura intracapsular y trocant\u00e9rica",
        "Intracapsular and trochanteric fracture",
        "Proximal femur fracture",
        "Segmental femur fracture"
    ],
    "methods": null,
    "publication_date": "2023-03-17",
    "pubmed_id": "36924841",
    "results": "We identified 28 patients (19 men and 9 women) with an average age of 43 years. We used an anterograde femoral nail in group I (17 patients) and a retrograde femoral nail or a plate associated with hip lag screws or sliding hip screw in Group II (11 patients). Patients were followed up for 26.28 (9.12-62.88) months. Osteonecrosis of the femoral head, osteoarthritis, infection or nonunion was found in 9 patients (32%). No significant differences (p 0.70) were found in complications between two groups or between definitive surgical fixation before or after the first 24h.",
    "title": "Ipsilateral proximal and shaft femoral fractures: Results of two treatment strategies.",
    "xml": "<Element 'PubmedArticle' at 0x788503f52cf0>"
}