Prognostic Factors for Surgical Management of Ipsilateral Femoral Neck and Shaft Fractures

Abstract Background The aim of this study is to determine the risk factors affecting postoperative function of ipsilateral femoral neck and shaft fracture. Methods From January 2014 to December 2020, patients with ipsilateral femur neck and shaft fractures were enrolled in this study. All of the patients underwent surgical treatment, and the date of the preoperative and 2-year follow-up were analyzed. The functional results were evaluated according to Freidman and Wyman functional criteria. Associations between clinical variables and function of postoperative were examined in univariate and multivariate analysis. Results Of all the 53 patients, 39 patients (73.6%) had good or fair functional recovery, while 14 patients (26.4%) had bad functional recovery. Univariate analysis showed that age, BMI (body mass index), internal fixation method, osteoporosis, intraoperative bleeding and deep venous thrombosis (DVT) were related with functional recovery. Binary logistic regression analysis showed that internal fixation method, BMI and DVT were independently associated with the functional recovery of patients 2 years after surgery. Conclusions This study found that the use of reconstruction nailing was a favorable prognostic factor, while obesity and DVT are adverse factors for ipsilateral femoral neck and shaft fractures, which may provide reliable reference for orthopedic surgeons.