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TENSOR FASCIA LATA/GLUTEUS MEDIUS MUSCLE PEDICLE BONE GRAFT FOR NON-UNION OF FEMORAL NECK FRACTURES
Samar Kumar Biswas1, Kuldip Raj Salgotra2, Pranab Kumar Lahree3
1Senior Adviser (Surg & Ortho) and Orthopaedic Surgeon. Base Hospital Lucknow - 226002.
Medical Journal, Armed Forces India
|August 4, 2017
Summary
This study successfully treated 11 of 12 male patients with hip fracture non-union using open reduction, internal fixation, and muscle pedicle bone grafting. Most patients achieved good functional recovery after this surgical intervention.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Bone Healing
Background:
- Femoral neck fractures are common, and non-union presents a significant challenge in orthopedic treatment.
- Delayed union or non-union of femoral neck fractures can lead to chronic pain and functional disability.
- Previous surgical techniques for non-union have varying success rates and complication profiles.
Purpose of the Study:
- To evaluate the efficacy of open reduction and internal fixation combined with tensor fascia lata or gluteus medius muscle pedicle bone grafting for treating femoral neck fracture non-union.
- To assess the union rates and functional outcomes in patients undergoing this specific surgical approach.
Main Methods:
- Twelve male patients with a 6-12 month history of femoral neck fracture non-union were included.
- The surgical procedure involved open reduction, internal fixation with Knowles pins and/or Asnis screws, and tensor fascia lata or gluteus medius muscle pedicle bone grafting via an anterior approach.
- Postoperative outcomes, including fracture union and hip function, were evaluated.
Main Results:
- Fracture union was achieved in 11 out of the 12 patients (91.7% union rate).
- Good functional recovery of the hip was observed in 9 patients.
- Fair functional recovery was noted in 2 patients, and one patient had a poor outcome.
Conclusions:
- Open reduction and internal fixation with muscle pedicle bone grafting is an effective surgical option for managing femoral neck fracture non-union.
- This technique demonstrates a high union rate and good functional recovery, offering a viable solution for challenging orthopedic cases.
- The anterior approach combined with specific fixation methods and bone grafting provides a promising treatment strategy for non-union of the femoral neck.
