Management of neglected femoral neck fractures and nonunions using a novel triple surgery combination: an Indian experience

The International Journal of Lower Extremity Wounds
Amit KapoorA Devadoss

Abstract

This study describes a 2- to 13-year follow-up of a novel technique for osteosynthesis of neglected femoral neck fractures and nonunions that combines internal fixation with the benefits of fibular grafting and valgus angulation osteotomy. Twenty-three patients were treated by the "3-in-1" surgery, which consisted of osteosynthesis with a dynamic hip screw, nonvascularized fibular grafting, and valgus osteotomy, between January 1996 and June 2009. Union was achieved in all patients at an average of 5.4 months. The average shortening was 0.9 cm. Although avascular necrosis was seen in 4 patients, 2 of them still had good functional scores. Excellent and good hip functional scores were seen in 18 patients. Well-executed surgeries combining biomechanics and biology can ensure union in neglected femoral neck fractures and nonunions provided an adequate length of the neck and proximal fragment is present and there is no subchondral collapse.

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Citations

Jan 17, 2015·Indian Journal of Orthopaedics·Anil K JainAmit Srivastava
Jun 25, 2015·International Orthopaedics·Hazem AbdelazeemNasef Abdellatif
Jun 18, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Linbo ZhuangZhiyong Wang

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Methods Mentioned

BETA
total hip arthroplasty

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