Fibular osteosynthesis of neglected femoral neck fracture in a young adult: Case report

Abstract

In order to preserve the femoral head in femoral neck non-union in young adults, the preferred option of treatment is open reduction and internal fixation. Where there are no facilities for microvascular surgery, nonvascularized fibular strut grafts can be used with screws.
This paper describes the use of fibular strut graft and cancellous screws in the open reduction and internal fixation of a neglected femoral neck fracture associated with aseptic necrosis of femoral head in a young adult that was followed up for four years.
The use of non-vascularized fibular strut grafts and screws for fixation of non-united fractures of femoral necks, even in the presence of avascular necrosis, could lead to union.

Key words: Fibula, Osteosynthesis, Femoral neck, Non-union, Aseptic necrosis, Strut graft