TREATMENT OF IPSILATERAL FRACTURES OF THE FEMUR SHAFT AND THE PROXIMAL FEMUR - REVIEW OF THERAPIES AND CURRENT MANAGEMENT

Fractures of the femoral shaft are combined in 2-5 % of all cases with an ipsilateral fracture of the proximal femur. These double fractures are mostly caused by high energy trauma, An analysis of 9 selected pa pers points to the problem, In more than 10 % the proximal fracture is not diagnosed initially, In the literature nearly 30 different operat ive treatments are described and underline the demands on proper opera tive techniques and implants for ipsilateral femoral shaft and hip fra ctures. In this publication the new unreamed femoral nail system (UFN) with a special proximal interlocking option for double fractures will be presented, This system provides a good possibility to stabilize fe moral double fractures in an easy and safe manner.