Fixation Using Cannulated Screws and Fibular Strut Grafts for Fresh Femoral Neck Fractures with Posterior Comminution

Zahid, Mohammed; Sabir, Aamir Bin; Asif, Naiyer; Julfiqar, Mohammad; Khan, Aziz; Ahmad, Sohail; Siddiqui, Yasir Salam

doi:10.1177/230949901202000211

Cited by 21 publications

(29 citation statements)

References 19 publications

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“…Our study is comparable with Zahid et al, who reported a series of 37 patients treated with fixation using cannulated screws and fibular strut grafts for fresh femoral neck fractures with posterior comminution. 28 Harris hip score was good to excellent in 20 patients, fair in 7, and poor in 6 while in our study the Harris Hip Score of 30 patients in group A and 12 patients in group B had excellent results and 06 patients in group A and 24 patients in group B had good results. Our study is comparable with Goyal et al Who showed union in 15 patients with 24 months follow up with fibular grafting and MHS.…”

Section: Discussioncontrasting

confidence: 39%

Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults

Kumar

Bharti

Rawat

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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Section: Discussioncontrasting

confidence: 39%

Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults

Kumar

Bharti

Rawat

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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“…Thus, adults with posterior comminution can benefit from primary fibular osteosynthesis even in fresh fracture neck of femur as reported in leterature. [18][19][20] Our result shows this simple procedure can be done at simple orthopedic facilities with image intensifier.…”

Section: Resultsmentioning

confidence: 88%

Outcome of fibular strut graft and two cannulated hip screws in neglected fracture neck of femur in adults - 10 years review

Chhetri

Khatri²,

Kharel³

2019

J Patan Acad Health Sci

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Introductions: Avascular necrosis and non-union are common but when the neck of femur fracture in adult is neglected, the chances of complications rises. Among various treatment options, we report the outcome of free fibular strut graft along with two cannulated hip screws in neglected fracture neck of femur. Methods: The outcome analysis of ‘fibular strut graft and two cannulated hip screws’ was conducted in patients with fracture neck of femur who presented at least three weeks after the time of injury, during August 2008 to December 2017, at Lumbini Zonal Hospital and Lumbini Hospital Technical College, Butwal, Nepal. All adult patients aged 18 to 60 years were included. Outcome variables were healing of fracture (union, delayed union, non-union), avascular necrosis and Harris Hip Score (HHS). Results: Out of 20 fractures, 17 (85%) united uneventfully, 2 (10%) had delayed union and 1 (5%) nonunion. We had 3 (15%) avascular necrosis of femoral head. The HHS was excellent in 8 (40%), good in 4 (20%), fair in 6 (30%) and poor in 2 (10%). Conclusions: Fibular Strut graft with two hip screws resulted in fracture union and improved hip functions in patients with neglected fracture of neck of femur.

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“…[7][8][9]13,23,29 Primary autologous fibular grafting along with cancellous screw fixation in fresh cases has been done and good results have been reported by two workers. 13,15 In this study we have used fibular autograft in all our patients. Since being young, they do not have the option of replacement of femoral head.…”

Section: Why a Graft?mentioning

confidence: 99%

“…C) vascularized fibular graft have been advocated along with or without internal fixation along with valgus osteotomy to treat neglected fractures and ununited femoral neck fractures to promote union. [5][6][7][8][9][10][11][12][13][14][15][16][17] Bone graft supplementation by using free fibular grafting was in past used in fifth decade but with less satisfying results. [18][19][20] In India it was revived in 1981 and first results were published in 1986.…”

Section: Introductionmentioning

confidence: 99%

“…13 Bone graft supplementations by fibula in fresh fractures have been reported in only two studies. 13,15 We evaluated the use of nonvascularized fibular strut graft with cancellous screw fixation for treatment of fresh femoral neck fractures. Bone graft supplementation by using free fibular grafting was in past used in fifth decade but with less satisfying results.…”

Section: Introductionmentioning

confidence: 99%

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Long Term Results of Fresh Femoral Neck Fractures Treated by Cancellous Screw and Fibular Autograft

Singh¹

2014

MOJOR

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Femoral neck fractures in adults have a poor prognosis because of high incidence of nonunion and aseptic necrosis. Prosthetic replacement of the femoral head is reserved for the physiologically older patients while osteosynthesis with preservation of femoral head is the treatment of choice for fracture neck femur in younger adults. Various types of bone graft supplementation have been advocated to reduce the incidence of nonunion and avascular necrosis. We tried cancellous screw fixation supplemented by fibular autologous grafting to overcome nonunion and avascular necrosis. Thirty-five (M-18: F-17) skeletally mature patients (mean age 49.38 years) of fresh femoral neck fracture were treated. Weight bearing was allowed only after 3 months, or later if the radiological signs of union was not seen. All fractures showed union at one year follow up. Complications included, avascular necrosis (2 cases), broken fibular graft (3 cases), screw back out with collapse (2 cases), penetration of the femoral head articular surface by screw and graft (1 case each). Patients are able to sit cross-legged and squatting position. Cancellous screw fixation and fibular autologous grafting is a safe, cost effective and reliable surgical technique for treating femoral neck fractures in properly selected patients.

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Fixation Using Cannulated Screws and Fibular Strut Grafts for Fresh Femoral Neck Fractures with Posterior Comminution

Abstract: Osteosynthesis and fibular grafting for freshly displaced femoral neck fractures with posterior comminution is an inexpensive and technically less demanding procedure for retaining a stable, painless, mobile, and functional hip.

Cited by 21 publications

References 19 publications

Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults

Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults

Outcome of fibular strut graft and two cannulated hip screws in neglected fracture neck of femur in adults - 10 years review

Long Term Results of Fresh Femoral Neck Fractures Treated by Cancellous Screw and Fibular Autograft

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