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TRAUMATOLOGY
Year : 2006  |  Volume : 40  |  Issue : 2  |  Page : 90-93

Ununited fracture neck of femur treated with closed reduction and internal fixation with cancellous screw and fibular strut graft


Department of Orthopaedic Surgery, SMS Medical College, Jaipur, India

Correspondence Address:
Daria Singh
J II/9 Sector-2, LIC flats, Vidhyadhar Nagar, Jaipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34447

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Background: Ununited fracture neck of femur in young adults has been tackled in various ways. Methods: Twenty five patients of ununited fracture neck of femur in age group 21-55 years were treated by closed reduction, cancellous screw fixation and fibular strut graft and followed up for 2-6 years. Time gap between injury and operation was 6 weeks to 58 weeks. Five cases were previously fixed with various fixation devices. Results: Osseous union was achieved in 24 cases with average time of 18.16 weeks. Main complication encountered in follow-up was avascular necrosis of femoral head, others were joint stiffness and shortening. Functional end results were good to excellent in 24 cases. Conclusion: Closed reduction with internal fixation by cancellous screw and fibular strut grafting is easy and useful procedure.


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