Management of neglected femur neck fractures treated with non vascularised fibular graft
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Intracapsular femoral neck fractures are seen commonly in elderly people following a low energy trauma 23 of all femoral neck fractures occurs in adults younger than 50 years and is often the result of highenergy trauma Femoral neck fracture continues to be considered as an unsolved fracture in view of poor prognosis and variable outcome reported after different procedures In developing countries the fracture often remains untreated as the patients do not seek treatment due to non availability of treatment facility or may be treated primarily by osteopaths or operated under suboptimal theatre conditions with poor quality implants We prospectively studied the outcome of 54 patients managed with non vascularised fibular graft and cancellous screws between 20102015 ANOVA test was used as a test of significance and functional results were assessed by Modified Askin and Bryan criteria To conclude in patients younger than 60 years of age with neglected femoral neck fracture non vascularised fibular graft acts as a reliable biological implant for revascularisation and gives excellent functional outcomeKeywords Neglected neck Femur fracture
Authors and Affiliations
Arun Gopalakrishnan, Sreesobh K. V. , Jijo Jose
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