Ipsilateral hip and femoral shaft fractures

Forty-two cases of ipsilateral hip and femoral shaft fractures arc reviewed. All patients were treated operatively for both fractures, with the exception of the shaft fracture in one child. Several different methods of fixation were used. The most common method was placement of multiple pins or screws around a previously placed intramedullary rod. Initial rodding of the shaft was not associated with avascular necrosis of the femoral head. Non-union of the femoral neck occurred in three patients as a result of initial displacement and subsequent malreduction. Delays in operative fixation up to six weeks did not affect the ability to obtain union of the femoral neck