Non-union of femoral neck fractures with osteonecrosis of the femoral head: treatment with combined free vascularized fibular grafting and subtrochanteric valgus osteotomy (Journal article)

Beris, A. E./ Payatakes, A. H./ Kostopoulos, V. K./ Korompilias, A. V./ Mavrodontidis, A. N./ Vekris, M. D./ Kontogeorgakos, V. A./ Soucacos, P. N.


Femoral neck fractures, frequently complicated by non-union and femoral head osteonecrosis,present a difficult clinical situation, especially when young patients are concerned. Existing treatment options are valgus osteotomy to address the biomechanical factors or bone grafting to address the biologic factor. The authors describe the operative technique and results of combined subtrochanteric valgus osteotomy and free vascularized fibular grafting in management of five young patients with both non-union and avascular necrosis.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Adolescent,Adult,Bone Transplantation/methods,Combined Modality Therapy,Female,Femoral Neck Fractures/complications/radiography/*surgery,Femur Head Necrosis/complications/*diagnosis,Fibula/blood supply/*transplantation,Follow-Up Studies,Fracture Fixation, Internal/*methods,Fracture Healing/physiology,Fractures, Ununited/radiography/*surgery,Humans,Male,Osteotomy/methods,Risk Assessment,Sampling Studies,Severity of Illness Index,Treatment Outcome
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/19713
ISSN: 0030-5898
Link: http://www.ncbi.nlm.nih.gov/pubmed/15271541
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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