Abstract

Recent Concept for Management of Femoral Neck Fracture Non-Union in Young Adults

Highlights

  • Fractures of the neck of femur in young adults tend, unlike their counterparts in older people, to be a relatively higherenergy injury and require timely and meticulous diagnosis and management [1,2,3,4]

  • A delayed presentation of fracture of the femoral neck is one where there is a delay of 48 hours to days between injury and diagnosis, whereas in a neglected fracture, this delay is in excess of days [3]

  • Muscle pedicle bone grafting (MPBG) +/- bone grafting: The gluteus minimus was used with attached bone block which was fixed anteriorly

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Summary

Why is non union common after fracture neck femur NOF?

I. Absence of cambium layer of periosteum of femoral neck leads to decrease in the healing potential (Phemister, 1939). Avascularity as healing callus comes from the neck shaft side the fracture because of avascularity of the head (Hulth 1961). D. Factors contributing to nonunion of femoral neck i.

Between 30 and 50 degrees
Management concepts
Treatment
Salvage procedures
Technique
If presented after 3 weeks up to 3 months
Surgical technique for joint preserving procedures
Confirmed Non unions
Discussion
Conclusion
Full Text
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