Gamma nail in treatment of ipsilateral fracture of shaft and neck of the femur

Background: Ipsilateral fractures of shaft and neck of femur pose a problem of missed diagnosis and management. Method: Forty eight patients of ipsilateral femoral shaft and neck fractures were treated by closed reduction and fixation by Gamma nail. Patients were followed for average period of 48 months. Results: Six femoral shafts and two femoral necks had isolated non unions while one patient had nonunion at both sites. Varus malunion with resultant shortening was seen in six patients. Conclusion: Gamma nail is a good implant to treat ipsilateral fractures of shaft and neck of femur.