A femoral neck fracture (FNF) and intertrochanteric fracture (ITF) are the two most common types of PFF. The incidence of a proximal femoral facture (PFF) is rigorously rising along with the socioeconomic burden due to the global ageing population. Our suggestion for the treatment of a femoral neck and ipsilateral trochanteric fracture is that a surgeon should choose wisely between an HR and a CMN depending on the patient’s age, the displacement of the femoral neck, and one’s expertise. Conclusions: For the surgical treatment of combined femoral neck and trochanteric fractures, osteosynthesis did not differ significantly from an HR in terms of the overall postoperative complications, reoperation and mortality rate, and hip function, however, the risk of nonunion and more mechanical complications should be considered when choosing a DHS. The different surgical methods did not significantly vary in other outcome variables, such as the re-operation rate, mortality, and hip function. The sub-analysis of the different osteosynthesis methods showed a higher incidence of excessive sliding and the nonunion of the fracture fragment in the DHS group than that in the CMN group ( p = 0.004 and p = 0.022, respectively). Only one (3.2%) of the 31 HR cases had a dislocation. Of the 84 osteosynthesis patients, 77 (91.7%) achieved a fracture union. Results: The patient demographics and perioperative details showed no significant discrepancies amongst different surgical groups, except for the operative time a CMN had the shortest mean operative time (standard deviation) of 85.6 min (31.1), followed by 94.7 min (22.3) during a DHS, and 107.3 min (37.2) during an HR ( p = 0.021). Methods: The postoperative complications after the treatment of a concomitant ipsilateral femoral neck and intertrochanteric fracture via cephalomedullary nail (CMN), dynamic hip screw (DHS), and hip arthroplasty groups were analyzed by retrospectively reviewing the electronic medical records of 115 consecutive patients. This study surveys surgical outcomes of different implants in order to assist in selecting the best possible implant for a combined femoral neck and intertrochanteric fracture. However, there is limited evidence on the optimal treatment option. Purpose: Although a concomitant ipsilateral femoral neck and intertrochanteric fracture has been considered to be a rare type of injury, its incidence has been increasing, especially among elderly hip fracture patients.
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