Use of fibular bone graft and cancellous screw fixation in the management of neglected femur neck fractures in young patients

Ghulam Mustafa Kaim Khani; Kamran Hafeez; Muhammad Bux; Nusrat Rasheed; Naveed Ahmed; M. Perwez Anjum

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Original Article

11 (

); 1-4

Use of fibular bone graft and cancellous screw fixation in the management of neglected femur neck fractures in young patients

Ghulam Mustafa Kaim Khani, Kamran Hafeez, Muhammad Bux, Nusrat Rasheed, Naveed Ahmed, M. Perwez Anjum

Received: 2016-09-30, Accepted: 2017-01-24, Published: 2017-10-24

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This article was originally published by Qassim University and was migrated to Scientific Scholar after the change of Publisher.

Abstract

Objective: To present the clinical outcome of patients with neglected femur neck fracture treated with fibular bone graft. Methods: During May 2010-February 2013, 15 patients younger than 35 years of age with neglected fracture neck of femur were managed with non-vascularized fibular graft and cannulated screws. Fractures were classified according to Sandhu Classification. Hip function was assessed using Harris hip score. Results: Fifteen patients with mean age of 28.67 years were managed. Mean period of delay from injury to presentation was 3.07 months. Mean follow-up was 18.5 months. Union was achieved in 13 cases. 2 patients developed nonunion with progression of avascular necrosis (AVN). Patients with healed fracture did not show radiological signs of AVN till the past follow-up. Functional status was evaluated at 6 months according to Harris hip score and was poor in 2 patients, fair in 2 patients, good in 6 patients, and excellent in 5 patients. Conclusion: Fibular graft along with two cancellous screws proved to be an effective technique in our cases with neglected femur neck fractures.