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January 1, 2022Journal of Bone and Joint DiseasesOpen Access

Osteosynthesis with fibular bone grafting and hip screw fixation for late femoral neck fractures yielded good clinico-radiological scores in 100% of basal and 57.4% of transcervical fractures.

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Why the study?

Intracapsular femoral neck fractures remain an unresolved challenge for orthopedic surgeons, with numerous osteosynthesis methods and persistent clinical difficulties.

Does osteosynthesis with fibular bone grafting and hip screw fixation improve clinico-radiological outcomes in young adults with late femoral neck fracture?

Population

64 young adults with femoral neck fractures more than 3 weeks old

Comparison

Fibular bone graft with hip screw fixation

Design

Prospective study

Follow-up

Average 16.4 months

Key result

Osteosynthesis with fibular bone grafting and hip screw fixation for late femoral neck fractures yielded good clinico-radiological scores in 100% of basal and 57.4% of transcervical fractures.

Authors

VPVinit PathakSarojini Naidu Medical CollegeJBJaved BhattiSarojini Naidu Medical CollegeRGRadha Kant GoyalSarojini Naidu Medical College

Discussion

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Member takes

Overview

May support internal fixation strategies in select patients; leaves open optimal approach versus arthroplasty in displaced cases.

Study Design

Type

Observational (n=64)

Multicenter

No

Structured PICO

Does osteosynthesis with fibular bone grafting and hip screw fixation improve clinico-radiological outcomes in young adults with late femoral neck fracture?

P
Population
64 young adults with late femoral neck fractures (>3 weeks old) treated with fibular bone grafting and hip screw fixation, followed for an average of 16.4 months.
E
Exposure
Osteosynthesis with fibular bone grafting and hip screw fixation
O
Outcome
Clinico-radiological score (good, fair, poor)

Osteosynthesis with fibular bone grafting and hip screw fixation is a simple and cost-effective procedure with good results for late femoral neck fractures in young adults, particularly for transcervical and basal types.

Limitations

  • loss of follow-up in 4 patients

Cite This Study

Pathak et al. (2022) conducted an observational in Late Femoral Neck Fracture (n=64). Osteosynthesis with fibular bone grafting and hip screw fixation was evaluated on Clinico-radiological score. Osteosynthesis with fibular bone grafting and hip screw fixation for late femoral neck fractures yielded good clinico-radiological scores in 100% of basal and 57.4% of transcervical fractures.

synapsesocial.com/papers/6a9febccf4a75fa1ef44b1b2https://doi.org/10.4103/jbjd.jbjd_14_21
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Femoral-neck fractures in young adults1976 · 263 citations
  2. 2Rating Scale for Hip Disabilities1963 · 162 citations