Treatment of femoral neck fractures with a cancellous screw and fibular graft

Nagi, O. N.; Gautam, VK; Marya, SK

doi:10.1302/0301-620x.68b3.3733802

Cited by 54 publications

(73 citation statements)

References 8 publications

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“…Generally, there are very few options available to treat neglected non union neck femur fractures. Like osteosynthesis with or without vascularised or nonvascularised fibular grafting [8] , valgus intertrochanteric osteotomy [7] , osteosynthesis with muscle pedicle bone grafting [9,10] and replacement (hemiarthroplasty or Total hip Replacement). When the fracture neck of the femur is of more than 3 weeks duration, internal fixation alone has a very high failure rate.…”

Section: Discussionmentioning

confidence: 99%

“…Jaiswal and pruthi [13] showed dual fibular bone grafting for neglected femoral neck fractures is simple and cost effective method with good results. Fibular osteosynthesis in neglected femoral neck fracture was popularized by Nagi et al [8] . They used one cancellous screw and a fibular graft in their patients and reported union in all of them.…”

Section: Discussionmentioning

confidence: 99%

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Outcome analysis of neglected neck of femur treated with non vascularised fibular graft and cancellous screws

P¹,

Sh²,

Patil³

et al. 2018

Int. J. Orthop. Sci.

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Intracapsular femoral neck fractures are seen commonly in elderly people following a low energy trauma. 2-3% 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 nonavailability 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 2010-2015. 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 outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Outcome analysis of neglected neck of femur treated with non vascularised fibular graft and cancellous screws

P¹,

Sh²,

Patil³

et al. 2018

Int. J. Orthop. Sci.

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show abstract

“…Various modalities to supplement osteosynthesis have been reported in literature. These include 1) Valgus Osteotomy 2) Muscle Pedicle graft 18 3) fibular Graft (Vascular / Non Vascular) 19 For most femoral neck fractures, the recommended fixation technique is with multiple cancellous lag screws. The Pauwels' Type I and II, but not Type III, are most amenable to this type of fixation.…”

Section: Discussionmentioning

confidence: 99%

Primary management of fracture of femoral neck in young adults using Valgus Osteotomy and fixation with Dynamic hip screw and plate: A case series

G¹,

S²,

K³

2014

IOSRJDMS

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Materials and Methods: Ten patients of recent (<3 weeks old) displaced intracapsular fracture neck femur (Garden III and IV, Pauwels III, with or without comminution) in the age group 20-40 years (mean 27.5 ) were subjected to osteosynthesis and primary valgus intertrochanteric osteotomy using dynamic hip screw with side plate and a derotation screw. The patients were followed up from three to five years (mean 4.6 years). AVN) Results: Union at the fracture site was achieved in ten out of ten (100 %) patients within 12 months of surgery. One case, which had undergone previous surgery with multiple screw fixation, developed avascular necrosis(10%). Repeat surgery rate was 10% (for patient with

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“…Similar examples, often associated with delayed presentation of these fractures in developing countries, also tax the ingenuity and imagination of orthopaedic surgeons. In this situation the need to preserve the femoral head has led to the development of various procedures such as valgus osteotomy [11,13], fibular grafts [12], muscle pedicle grafts [2,10] and vascularised bone grafts [3,6]. Some of these procedures are very timeconsuming and require considerable expertise and technical competence.…”

Section: Discussionmentioning

confidence: 99%

Valgus intertrochanteric osteotomy for neglected femoral neck fractures in young adults

Kalra

Anand

2001

International Orthopaedics (SICOT)

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Twenty cases of neglected (more than 1 month old) displaced femoral neck fractures in young adults were treated with a valgus intertrochanteric osteotomy. A fracture union rate of 85% (17 cases) was achieved. Two of the healed cases developed avascular necrosis. After 30 months 15 patients (75%) had achieved good to excellent results. We believe that intertrochanteric osteotomy provides good alternative management for neglected femoral neck fractures.Resumé Vingt cas de fractures du col fémoral déplacées et négligées chez l'adulte jeune ont été traités avec une ostéotomie de valgisation intertrochanterienne. Dix sept fractures ont consolidés. Deux des cas consolidés ont dé-veloppé une nécrose avasculaire. Quinze patients avaient un bon ou excellent résultat avec une moyenne de suivi de trente mois. L'ostéotomie intertrochanterienne est une bonne alternative pour le traitement des fractures du col fémoral négligées.

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Treatment of femoral neck fractures with a cancellous screw and fibular graft

Cited by 54 publications

References 8 publications

Outcome analysis of neglected neck of femur treated with non vascularised fibular graft and cancellous screws

Outcome analysis of neglected neck of femur treated with non vascularised fibular graft and cancellous screws

Primary management of fracture of femoral neck in young adults using Valgus Osteotomy and fixation with Dynamic hip screw and plate: A case series

Valgus intertrochanteric osteotomy for neglected femoral neck fractures in young adults

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