• OBJECTIVE
    • To analyze the misdiagnoses of femoral shaft fracture combined with ipsilateral femoral neck or femoral fractures.
  • METHODS
    • Over the past six years, eight misdiagnosed cases of ipsilateral femoral neck or femoral fractures missed patients, aged 25 to 59 years old (mean: 41.7), were treated at our department. An initial diagnosis of femoral shaft fracture was later revised as ipsilateral femoral shaft with supra-condylar fracture of femoral neck or femur. Femoral shaft fracture was fixed with armor plate, 3-screw hollow compression fixation of femoral neck; two cases of femoral condylar fractures of distal femoral condyle with anatomical plate fixation and 1 case of intraoperative change into the retrograde femoral intramedullary nail fixation.
  • RESULTS
    • The mean post-operative follow-up was 3.5 years. All fractures healed with excellent hip and knee functions.
  • CONCLUSION
    • For those with a strong reverse and torsional violence, femoral shaft fracture combined with ipsilateral femoral neck or femoral fractures may be easily misdiagnosed. A preoperative conventional hip-knee X-ray film is an effective way to avoid a misdiagnosis.