Adjunct fibula strut bone graft in resurfacing hip arthroplasty

Femoral neck fracture following surface replacement is a reported complication. Adjunct autogenous fibula strut bone grafting has been proposed as a means of reducing or eliminating this occurrence. This paper reports the long-term follow-up of two cases. One patient did well for 9 years prior to sustaining a traumatic femoral neck fracture while intoxicated; the second patient continues to do well 8.5 years postoperatively. While definite conclusions cannot be drawn, these two patients represent our longest-clinical successes using surface replacement arthroplasty.