{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:40:33Z","timestamp":1777880433059,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2002,12,1]],"date-time":"2002-12-01T00:00:00Z","timestamp":1038700800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2002,12,1]],"date-time":"2002-12-01T00:00:00Z","timestamp":1038700800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>Owing to unpredictable femoral neck reduction, reconstruction nails are not suitable for fixation of group 3 ipsilateral femoral neck-shaft fractures. We developed a new one-step fixation technique to overcome this problem. This study aims to assess this new technique at the Orthopaedic Department, Chi-Mei Foundation Medical Center, Tainan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Of 31 consecutive patients with femoral fractures treated by reconstruction nails, five patients had group 3 ipsilateral femoral neck-shaft fractures, 4 of whom were treated by a new surgical technique. Two 5.0-mm drills were firstly inserted to tether the trochanter fragment, and distal locking screws were secondly applied to immobilise the shaft fracture. The neck-shaft angle was then restored in a closed fashion and proximal cephalomedullary screws were attached. Patients were followed up by post-operative radiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>All 5 cases of group 3 ipsilateral femoral -neck-shaft fracture obtained radiographic union without significant surgical sequelae. Three of the patients had implants removed. No patients presented with osteonecrosis at the 3-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>The new approach to manage ipsilateral femoral neck-shaft fractures by using reconstruction nails obtains relatively good clinical results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949900201000214","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:13:55Z","timestamp":1475601235000},"page":"185-193","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Use of Reconstruction Nails to Manage Ipsilateral Displaced Femoral Neck-Shaft Fractures: Assessment of a New Approach"],"prefix":"10.1177","volume":"10","author":[{"given":"SH","family":"Lin","sequence":"first","affiliation":[{"name":"Orthopaedic Department, Chi-Mei Foundation Medical Center, 901 Junghua Road, Yungkang City, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CW","family":"Lo","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Chi-Mei Foundation Medical Center, 901 Junghua Road, Yungkang City, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SC","family":"Cheng","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Chi-Mei Foundation Medical Center, 901 Junghua Road, Yungkang City, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MY","family":"Kuo","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Chi-Mei Foundation Medical Center, 901 Junghua Road, Yungkang City, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LS","family":"Chin","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Chi-Mei Foundation Medical Center, 901 Junghua Road, Yungkang 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