FIBULAR OSTEOSYNTHESIS WITH CANNULATED HIP SCREW FIXATION OF NEGLECTED FEMORAL NECK FRACTURE IN A YOUNG ADULT: CASE REPORT.
- Post Graduate Student, P.G.Dept. of Orthopaedics ,VSSIMSAR , Burla , Sambalpur University ,Odisha Asso. Professor , P.G.Dept. of Orthopaedics ,VSSIMSAR , Burla , Sambalpur University ,Odisha
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Neglected fracture neck of femur is a challenging condition to treat. Preservation of the head of femur is desirable in young patients.In order to preserve the femoral head in femoral neck non-union in young adults, the preferred option of treatment is open reduction and internal fixation. Where there are no facilities for microvascular surgery, non-vascularized fibular strut grafts can be used with screws. This paper describes the use of fibular strut graft and cancellous screws in the open reduction and internal fixation of a neglected femoral neck fracture associated with avascular necrosis of femoral head in a young adult that was followed up for four years. The use of non-vascularized fibular strut grafts and screws for fixation of non-united fractures of femoral necks, even in the presence of avascular necrosis, could lead to union.It is cost-effective and technically less demanding, and associated with good outcomes.
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[Dillip Kumar Chand and B.N.Mohapatra. (2017); FIBULAR OSTEOSYNTHESIS WITH CANNULATED HIP SCREW FIXATION OF NEGLECTED FEMORAL NECK FRACTURE IN A YOUNG ADULT: CASE REPORT. Int. J. of Adv. Res. 5 (Jan). 536-539] (ISSN 2320-5407). www.journalijar.com
