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
Microsurgeryjournal_title
Microsurgeryauthors
Beris AE,Lykissas MG,Payatakes A,Kontogeorgakos VA,Mavrodontidis A,Korompilias AVdoi
10.1002/micr.20598subject
Has Abstractpub_date
2009-01-01 00:00:00pages
240-3issue
3eissn
0738-1085issn
1098-2752journal_volume
29pub_type
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