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

  • Ghulam Mustafa Kaim Khani Dow University of Health Sciences, Karachi, Pakistan
  • Kamran Hafeez Buraidah Central Hospital, Buraidah, KSA
  • Muhammad Bux Lyari General Hospital, Karachi, Pakistan
  • Nusrat Rasheed Dow University of Health Sciences, Karachi, Pakistan.
  • Naveed Ahmed Civil Hospital, Dow University of Health Sciences, Karachi
  • M. Perwez Anjum Dow University of Health Sciences, Karachi, Pakistan.
Keywords: Femur neck fractures, fibular graft, neglected fractures

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.

Author Biographies

Ghulam Mustafa Kaim Khani, Dow University of Health Sciences, Karachi, Pakistan
Professor of Orthopedics
Kamran Hafeez, Buraidah Central Hospital, Buraidah, KSA
Consultant Orthopedic Surgeon, Department of Orthopedics, Buraidah Central Hospital
Muhammad Bux, Lyari General Hospital, Karachi, Pakistan

Senior Registrar Orthopaedics

Nusrat Rasheed, Dow University of Health Sciences, Karachi, Pakistan.
Assistant Professor of Orthopedics
Naveed Ahmed, Civil Hospital, Dow University of Health Sciences, Karachi
Senior Medical Officer Orthopaedics
M. Perwez Anjum, Dow University of Health Sciences, Karachi, Pakistan.

Professor of Orthopaedics

Published
2017-10-24
How to Cite
Kaim Khani, G., Hafeez, K., Bux, M., Rasheed, N., Ahmed, N., & Anjum, M. (2017, October 24). Use of fibular bone graft and cancellous screw fixation in the management of neglected femur neck fractures in young patients. International Journal of Health Sciences, 11(5). Retrieved from https://ijhs.org.sa/index.php/journal/article/view/1929
Section
Original Paper