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Background: The incidence of ipsilateral neck of femur with shaft of femur fracture was around 1-9%.The diagnosis of femoral neck fractures are frequently missed during initial assessment due tomore focus of femoral shaft fractures. There are hardly any literature regarding outcomes of ipsilateral neck and femur shaft fractures. The purpose of this study is to evaluate the clinical outcome and complications following management of Ipsilateral neck and shaft of femur fracture by various fixation methods. Materials and Method: This is a prospective study done at Sri Ramachandra Medical College between April 2015 to Dec. 2018 in Department of Orthopaedics. The Inclusion Criteria were patients above eighteen years having ipsilateral neck with shaft of femur fracture. The exclusion criteria were Isolated shaft or neck of femur fracture and patients who lost follow-up and open fractures. We had fifteen patient who had full follow up. Theminimum follow up was taken as one year. Patients age group were between 24 years to 58 years with an average of 40 years. All the patients were followed by Modification of wilde et al Neer scoring system for outcome. Results:We had excellent results in five patients, seven patients had good and 3 patients had fair results. There was no poor result in any of our cases. In our study 67% of the cases had no complications. The Average time of union of the fracture was 25 weeks. All the fractures were united in our study. Conclusion: We were able to obtain satisfactory results with minimum complication rate. We were able to achieve excellent results in terms of neck union and shaft union. In Ipsilateral neck and shaft fractures, most neck of femur fractures are undisplaced or minimally displaced.

Functional and radiological outcome of Ipsilateral neck with shaft of femur fracture