The Journal of Bone and Joint Surgery, Vol 66, Issue 7 991-1002, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
Ipsilateral fractures of the femur and tibia. A report of fifty-seven consecutive cases
RG Veith, RA Winquist and ST Hansen
We treated fifty-seven consecutive ipsilateral fractures of the femur and
tibia in fifty-four adults from 1968 through 1978. Twenty-one patients had
concomitant life-threatening injuries, and in thirty-three extremities the
fractures were open. All but one of the femoral fractures and about half of
the tibial fractures were internally fixed. The length of hospitalization
averaged five weeks. Local complications included one below-the-knee
amputation, three deep infections, and four ununited fractures. A fat
embolism syndrome was diagnosed in 13 per cent of the patients. At the last
follow-up examination, at an average of 40.5 months after injury, the mean
range of motion of the knee was 129 degrees. Over-all, a good or excellent
functional result was achieved in about 80 per cent of the patients. The
best results were achieved when both fractures were stabilized surgically.