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Year : 1992  |  Volume : 26  |  Issue : 1  |  Page : 55-60

Different Osteotomies And Internal Fixation Combined With Muscle - Pedicle Bone Grafting In The Treatment Of Ununited Femoral Neck Fractures - A Comparative Study



Correspondence Address:
A. K Chowdhury


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260 cases of ununited femoral neck fractures were treated by high displacement femoral osteotomy in 63 cases; by Dickson’s Geometric osteotomy in 17 cases and by Internal fixation combined with free and muscle-pedicle bone grafting in 180 cases. Their ages varied from 11 to 70 years, duration of fracture varied from 3 to 48 months and post-operative follow-up period varied from 3 to 36 years. The results of these procedures were analysed in detail. High displacement femoral osteotomy did not help in union of the fracture site in presence of avascular necrosis of the femoral head. Dickson’s Geometric osteotomy facilitated union of fracture even in the presence of avascular necrosis of femoral head but failed to prevent or treat avascular necrosis. Internal fixation combined with free and muscle-pedicle bone grafting exhibited the best form of anatomical and functional results by enhacing healing of ununited femoral neck fractures and femoral head necrosis where-ever present.


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