Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head: a case report with a long-term follow-up.

Abstract:

:We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130 degrees blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Beris AE,Lykissas MG,Payatakes A,Kontogeorgakos VA,Mavrodontidis A,Korompilias AV

doi

10.1002/micr.20598

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

240-3

issue

3

eissn

0738-1085

issn

1098-2752

journal_volume

29

pub_type

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