Successful Fracture Healing for Femoral Neck Nonunion with Bone Marrow Aspirate Concentrate
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Jacob M Modest1, Nicholas J Lemme1, Edward J Testa1
1Brown University, Department of Orthopedics.
Introduction:
Femoral neck fractures in the young patient require prompt anatomic reduction and stabilization to preserve the vascular supply to the femoral head and minimize future need for arthroplasty. Secondary to unique biomechanical and vascular considerations, these injuries are prone to nonunion.
Case Report:
A 29-year-old male with a chronic femoral neck fracture nonunion who experienced successful fracture healing and symptom resolution following Bone Marrow Aspirate Concentrate (BMAC) administration.
Discussion:
Femoral neck nonunion in young patients is a challenging problem with treatment strategies aimed at improving the biological and biomechanical fracture environment. While the use of both vascularized and nonvascularized bone grafting has shown promising results, they have high complication rates and substantial donor site morbidity. BMAC has demonstrated multiple uses throughout orthopedic surgery and may result in an improved fracture healing environment with minimal patient morbidity.
Conclusion:
The success of the BMAC procedure for this patient is promising and may be considered in similar patients, with or without revision internal fixation methods.
