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Nonvascularized fbular grafting in nonunion of femoral neck fracture

A systematic review

  • Review Article
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Nonunion of femoral neck fractures following primary fxation and neglected femoral neck fracture in young adults is a challenging task. Every effort should be directed toward hip joint salvage in these patients. Among different available options of hip salvage, nonvascularized fbular graft (NVFG) osteosynthesis is simple, easy to perform, and a successful technique. In this review, the available literature on NVFG in neglected and nonunion femoral neck fractures has been analyzed. After review of 15 articles on NVFG, the average nonunion rate was estimated to be 7.86% (range 0-31%). Six articles that evaluated the preoperative and postoperative osteonecrosis reported improvement in 50% patients. The clinical and/or functional outcome was good to excellent in 56-96% patients following fbular osteosynthesis. Few complications such as coxa vara deformity, limb shortening, and intraarticular penetration of the graft or hardware have been reported. However, there are minimal donor site morbidities such as mild ankle pain, transient loss of toe fexors and extensors and transient lateral popliteal nerve palsy.

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Authors and Affiliations

  1. Department of Orthopaedics, Fortis Hospital, Mohali, Punjab, India

    Ramesh Kumar Sen

  2. Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Tarun Goyal

  3. Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, 751 019, Odisha, India

    Sujit Kumar Tripathy

Authors
  1. Sujit Kumar Tripathy
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  2. Ramesh Kumar Sen
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  3. Tarun Goyal
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Correspondence to Sujit Kumar Tripathy.

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Tripathy, S.K., Sen, R.K. & Goyal, T. Nonvascularized fbular grafting in nonunion of femoral neck fracture. IJOO 50, 345–351 (2016). https://doi.org/10.4103/0019-5413.185587

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  • DOI: https://doi.org/10.4103/0019-5413.185587

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