Technical TrickTreatment of Ipsilateral Femoral Neck and Shaft Fractures With Cannulated Screws and Antegrade Reconstruction NailSpitler, Clay A. MD*; Kiner, Dirk MD†; Swafford, Rachel MPH†; Bruce, Jeremy MD†; Nowotarski, Peter MD‡Author Information *Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL; †Department of Orthopaedic Surgery, University of Tennessee Health and Science Center, College of Medicine, Chattanooga, TN; and ‡Department of Orthopaedic Surgery, University of Tennessee Chattanooga, College of Medicine, Chattanooga, TN. Reprints: Clay A. Spitler, MD, Department of Orthopedic Surgery, University of Alabama-Birmingham, Birmingham, AL 35294 (e-mail: [email protected]). The authors report no conflict of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jorthotrauma.com). Journal of Orthopaedic Trauma: May 2020 - Volume 34 - Issue 5 - p e176-e180 doi: 10.1097/BOT.0000000000001689 Buy SDC Metrics Abstract Summary: Ipsilateral femoral neck and shaft fractures are challenging injuries, and there are different fixation options but no consensus on a superior construct. Our preferred method is cannulated screw fixation of the femoral neck and antegrade reconstruction nailing of the shaft. Compressive fixation of the femoral neck fracture with cancellous lag screws followed by reconstruction nail placement provides compressive fixation and fixed angle support of the neck fracture while allowing for more optimal treatment of femoral shaft fractures at or above the isthmus. The purpose of this submission is to describe the surgical decision-making, surgical technique, and all surgically related complications of this technique. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.