J Korean Orthop Assoc.  1973 Jun;8(2):135-140. 10.4055/jkoa.1973.8.2.135.

Two Cases of Neglected Fracture of the Femoral Neck: Report of 2 Cases

• Kim KH
• Kim SJ
• Oh SH
• Yang CW

• KMID: 2463767
• DOI: http://doi.org/10.4055/jkoa.1973.8.2.135

Abstract

Recently the treatment of femoral neck fractures has advanced, and results are generally satisfactory. In some cases however, their prognosis relatively unsatisfactory, for instance, nonunion or malunion cases are frequently encountered, because inadequate treatment is given by non-qualified paramedical personnel or general practitioners. This is a report of two cases of neglected fracture of the femoral neck. The first case was a 57 year old female who complained of painful limitation of motion of the left hip for 33 months. Roentgenological examination revealed a fracture of the femoral neck with severe neck absorption upward lateral displacement of the upper end of femur with generally osteoporotic changes. For treatment of this neglected femoral neck fracture, Colonna reconstruction was performed. The second case was a 19 year old female who complained of painful limited motion of the right hip joint for 5 months. Roentgenological examination revealed a fracture of the femoral neck with no absorption of the femoral neck, there was, however, slight sclerotic change in the head of the femur In this case, Open osteosynthesis was performed. A bleeding from the proximaI fragment was seen after curettage of the fracture surface at the time of operation. Post-operative results were relatively good in both cases.

MeSH Terms

Absorption
Allied Health Personnel
Curettage
Female
Femoral Neck Fractures
Femur
Femur Neck*
General Practitioners
Head
Hemorrhage
Hip
Hip Joint
Humans
Neck
Prognosis