J Korean Orthop Assoc.
1978 Dec;13(4):673-678. 10.4055/jkoa.1978.13.4.673.
Treatment of Displaced Fractures of the Femoral Neck by Muscle-Pedicle Bone Graft and Internal Fixation
- KMID: 2460322
- DOI: http://doi.org/10.4055/jkoa.1978.13.4.673
Abstract
- The major blood supply to the femoral head is probably damaged by the fracture of the femoral neck especially when it is a displaced fracture. Complications such as delayed or nonuion of the fracture and avascular necrosis of the femoral head are common. Revascularization after reduction and internal fixation appears to be a slow process and in many patients late segmental collapse occurs. Various techniques have been proposed to restore the blood supply or to improve the circulation to the femoral head. Hereby we performed internal fixation and an autogenous muscle-bone pedicle graft composed of the quadriceps femoris muscle in 3 cases of old, neglected displaced femoral neck fracture. The results seemed to be good in regard to bony union in all 3 cases but it would be needed further follow up study for developing of any avascular necrosis.
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