Neglected Ipsilateral Non-Union Neck of Femur with Shaft of Femur Non-Union in A Young Patient and Its Management - A Rare Case Report

The incidence of ipsilateral neck of femur fracture with the shaft of femur going for non-union is not known. Management of this concomitant non-union can be a daunting task in terms of fixation strategy and its outcome. In this article, we report a case of a 25-year-old male with ipsilateral neck o...

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Bibliographic Details
Published inJournal of orthopaedic case reports Vol. 14; no. 10; pp. 90 - 95
Main Authors Shetty, Ganesh Ramesh, Meignanaguru, Muthusaravakumar, Dhakshinamurthi, Yogadeepan, Srinivasan, Deepak
Format Journal Article
LanguageEnglish
Published India Indian Orthopaedic Research Group 01.10.2024
Subjects
Case Report
impaction bone grafting
non-union
dual plating
Valgus subtrochanteric osteotomy
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Summary:The incidence of ipsilateral neck of femur fracture with the shaft of femur going for non-union is not known. Management of this concomitant non-union can be a daunting task in terms of fixation strategy and its outcome. In this article, we report a case of a 25-year-old male with ipsilateral neck of femur with shaft non-union. We have done open reduction and dual plating with bone grafting for the shaft of the femur followed by valgus subtrochanteric osteotomy with dynamic hip screw and impaction bone grafting for the neck of femur non-union. The main principle in treating the neck of femur non-union is biomechanical correction of shear forces into compression forces by valgus correction and impaction bone grafting aids fracture healing. Dual plating with bone grafting gives optimal results in shaft non-union.
Bibliography:ObjectType-Case Study-2
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ISSN:2250-0685
2321-3817
2321-3817
DOI:10.13107/jocr.2024.v14.i10.4822