Fibular Strut Graft with Cannulated Hip Screw of Neglected Femoral Neck Fracture in a Young Adult: A Case Report

Adiet Wahyu Kristian; I.G.N. Bagus Andhika  Pramana; A.A. Ngurah Krisna Dwipayana; I Ketut  Suyasa; I.G.N. Wien Aryana

doi:10.3889/oamjms.2023.10916

Authors

Adiet Wahyu Kristian Department of Orthopaedic and Traumatology, Udayana University, Sanglah General Hospital, Bali, Indonesia
I.G.N. Bagus Andhika Pramana Department of Orthopaedic and Traumatology, Udayana University, Sanglah General Hospital, Bali, Indonesia
A.A. Ngurah Krisna Dwipayana Department of Orthopaedic and Traumatology, Udayana University, Sanglah General Hospital, Bali, Indonesia
I Ketut Suyasa Department of Orthopaedics and Traumatology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia
I.G.N. Wien Aryana Department of Orthopaedics and Traumatology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.10916

Keywords:

femoral neck fracture, neglected, cannulated hip screw

Abstract

BACKGROUND: Neglected femoral neck fractures in young adults (age <60) pose a major challenge in terms of appropriate treatments for each specific condition.

AIM: The objective of this case report is to explain the presentation of neglected femoral neck fractures and its clinical consequences and to discuss the management of the disease.

CASE PRESENTATION: This case presents a 14-year-old male with neglected displaced fracture of femoral neck, which was successfully managed by closed reduction and internal fixation with two cannulated screws and non- vascularized fibular strut graft.

CONCLUSION: Femoral neck fractures in young adults are considered as a rare fracture case, eventually it was associated with serious complications. The management of this type of fractures in children is challenging, particularly that of a neglected fracture. Fibular strut graft with two cannulated hip screws for neglected femoral neck fractures in children considered to be cost-effective and technically less demanding as well as associated with good outcomes.

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