Closed reduction, internal fixation with quadratus femoris muscle pedicle bone grafting in displaced femoral neck fracture |
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Authors: | Sibaji Chaudhuri |
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Affiliation: | Consultant Orthopaedic Surgeon, Former Registrar of Orthpaedic Surgery, Bardhaman Medical College and R.G.Kar Medical College, Kolkata - 700 004, India |
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Abstract: | Background:Management of femoral neck fracture is still considered as an unsolved problem. It is more evident in displaced fractures where this fracture is considered as some sort of vascular insult to the head of the femur. We have used closed reduction, internal fixation and quadratus femoris muscle pedicle bone grafting in fresh displaced femoral neck fractures.Materials and Methods:From April 1996 to December 2004 we operated 73 consecutive patients of displaced femoral neck fracture in the age group of 24 to 81 years, mean age being 54.6 years. The patients were operated within one week of injury, the mean delay being 3.6 days. Closed reduction internal fixation along with quadratus femoris muscle pedicle bone grafting was done in all cases. They were followed up for an average period of 5.6 years (range 2-11 years).Results:Results were assessed according to modified Harris Hip Scoring system and found to be excellent in 53, good in 12, fair in six and poor in two patients. Bony union occurred in 68 cases, no patient developed avascular necrosis (AVN) till date.Conclusion:For fresh displaced femoral neck fracture in physiologically active patients closed reduction, internal fixation and quadratus femoris muscle pedicle bone grafting is a suitable option to secure union and prevent development of AVN. |
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Keywords: | Avascular necrosis of femoral head closed reduction internal fixation femoral neck fracture muscle pedicle bone graft quadratus femoris muscle pedicle bone grafting |
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