Nasir Ali, Muhammad Shahid Riaz, Muhammad Ishaque Khan, Muhammad Rafiq Sabir.
Evaluation of Union of Neglected Femoral Neck Fractures Treated with Free Fibular Graft.
J Surg Pak Nov ;19(2):66-9.

Objective: To evaluate the frequency of union of neglected femoral neck fractures treated with free fibular graft. Study design: Descriptive case series. Place & Duration of study: Department of Orthopedics Bahawal Victoria Hospital Bahawalpur, from April 2009 to January 2010. Methodology: Patients of neglected femoral neck fracture (one month postinjury) were included in the study. They were operated and internal fixation was done with concellous screws and free fibular graft placed. They were followed till the evidence of radiological union. Results: Out of 55 patients there were 40 males and 15 females. Ages ranged from 20 year to 50 year. The duration of injury was from 4 weeks to 6 months. Fifty patients achieved complete union while five patients developed non-union with complaint of pain. There was no wound infection and hardware failure. Conclusion: Fracture reduction and internal fixation with use of free fibular graft and concellous screws for neglected femoral neck fractures is the treatment of choice.

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