Fibular Strut Graft for Nonunited Femoral Neck Fractures in Children

Overview

Journal J Child Orthop

Publisher Sage Publications

Specialty Pediatrics

Date 2017 Apr 26

PMID 28439306

Citations 6

Authors

A Elgeidi

A El-Negery

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the clinical and radiological outcomes of using fibular strut grafts as a fixation device for non-united femoral neck fractures in children with or without subtrochanteric valgus osteotomy.

Methods: A total of 12 children with non-united femoral neck fractures (nine males and three females) with an average age of 8.2 years (5 to 12) were managed, and functional results evaluated, between July 2013 and July 2015. The mechanisms of injury were fall from a height in ten patients and road traffic accident in two cases. Nine cases of femoral neck nonunion followed failed internal fixation and three cases were neglected fractures. Six cases were treated by fibular strut graft and subtrochanteric valgus osteotomy with contoured plate and six cases were treated by fibular strut graft and hip spica.

Results: The mean follow-up period was 20.4 months (12 to 36). Union was achieved in all 12 cases by a mean of 3.5 months (2.5 to 6). All patients were satisfied at five months. For final analysis of clinical and radiographic results, the Ratliff's classification was used. We classed 11 cases as good results and one case as fair.

Conclusions: Fibular strut grafts are a reliable option for treatment of pseudo-arthrosis in femoral neck fracture nonunion in children. It is successful in restoration of femoral neck length in children with non-united femoral neck fractures.

Citing Articles

A Comparative Analysis of Femoral Neck System and Three Cannulated Screws Fixation in the Treatment of Femoral Neck Fractures: A Six-Month Follow-Up.

Zhang Y, Lin Y, Li C, Yue X, Li G, Wang B Orthop Surg. 2022; 14(4):686-693.

PMID: 35179307 PMC: 9002068. DOI: 10.1111/os.13235.

Fractures of the Proximal Femur in Childhood: A Review.

Pinto D, Aroojis A Indian J Orthop. 2021; 55(1):23-34.

PMID: 33569096 PMC: 7851244. DOI: 10.1007/s43465-020-00259-4.

Current controversies in management of fracture neck femur in children: A review.

Pandey R, John B J Clin Orthop Trauma. 2020; 11(Suppl 5):S799-S806.

PMID: 32999559 PMC: 7503071. DOI: 10.1016/j.jcot.2020.05.029.

Comparative study of Pauwels type III femoral neck fractures managed by short dynamic hip screw with fibula bone graft or cannulated screws in young adults.

Li Z, Zhang X, Li Z, Peng A, Zhang L, Deng Y Ann Transl Med. 2020; 8(11):681.

PMID: 32617301 PMC: 7327311. DOI: 10.21037/atm-19-3344.

Pathological Neck of Femur Fracture with Failed Osteosynthesis in Adolescent: A Report of Two Cases.

Subramanyam K, Mundargi A, Reddy P, Umerjikar S J Orthop Case Rep. 2019; 8(6):88-91.

PMID: 30915304 PMC: 6424325. DOI: 10.13107/jocr.2250-0685.1274.

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