Results of nonvascular fibula grafting with osteosynthesis in neglected fracture neck of femur

Abstract

Neglected fracture neck of femur is a challenging condition to treat. Preservation of the head of femur is desirable in young patients. Various options include osteosynthesis, osteotomy combined with or without vascular or non-vascular bone grafting. We have done a prospective case series on neglected fracture neck of femur in young adults treated by osteosynthesis with nonvascularized fibula grafting.This study included traumatic fracture neck of the femur delayed more than 3 weeks in young adults 15-60-year-old . We achieved a satisfactory outcome with HHS of more than 70 in 81.25% of our patients. There was a nonunion rate of 6.25% and AVN rate of 12.5%. This study shows that nonvascular fibula grafting is a viable option for the treatment of neglected fracture neck of femur in young patients. It is technically less demanding with results comparable to other more complicated procedures.

Keywords

• fibular graft
• fracture neck of femur
• nonunion
• osteosynthesis