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Correspondence to Author: Muhammad Waqas Khan
Dow university of health sciences.
Abstract:
Purpose : Our study evaluates the effectiveness of our
innovative treatment for neglected femoral neck fractures.
Methods : This retrospective study included 23 patients from
January 2016 to March 2023, treated with our new innovative
technique. Data has been extracted from the respective
department, and informed consent has been obtained prior
to any intervention. Radiographs, including AP and lateral
radiographs and range of motion at the hip joint, were
evaluated in follow-ups at different intervals. Post-operative
complications and total hip arthroplasty conversions were
also noted. The SPSS software version 26 was used to analyze
data for this study.
Results : With a mean follow-up of 4.5 ± 1 years, the
participants’ ages ranged from 14 to 60 years old, with a mean
age of 29.74 ± 11.47 years. The database record indicates that
20 subjects had the radiological and clinical union observed.
The non-union was reported in 3 (14.2%) patients; however,
only one was symptomatic. Almost 41.7% of the patients
reported feeling pain occasionally after exertion. At the
operated hip, all patients had excellent range of motion (ROM),
primarily in the areas of hip flexion, abduction, adduction, and
external rotation. Following reconstruction, the average hip
Haris score was 83.46 ± 10.40 at one year. As a post-operative
complication, 4 individuals (16.7%) had an infection.
Conclusion : Our unique technique has dramatically improved
neglected femur neck fractures, even in young patients. It
involves ORIF using three cancellous screws, non-vascularized
fibular and iliac crest cancellous grafts for reconstruction, and
vascularized Tensor fascia lata pedicle graft osteosynthesis.
Keywords: Femoral fracture, Traumatic fracture, Open reduction, internal fixation, Osteotomy, Bone graft.
Citation
Muhammad Waqas Khan. Osteosynthesis and Reconstruction in Neglected Neck of Femur Fracture: A single-center Study and literature review. Journal of Pain 2024.
Journal Info
- Journal Name: Journal of Pain
- Impact Factor: 2.0
- ISSN: 2996-1793
- DOI: 10.52338/jop
- Short Name: JOP
- Acceptance rate: 55%
- Volume: 6 (2024)
- Submission to acceptance: 25 days
- Acceptance to publication: 10 days
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