TY - JOUR
T1 - Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head
T2 - A case report with a long-term follow-up
AU - Beris, Alexandros E.
AU - Lykissas, Marios G.
AU - Payatakes, Alexandros
AU - Kontogeorgakos, Vasileios A.
AU - Mavrodontidis, Alexandros
AU - Korompilias, Anastasios V.
PY - 2009/3/31
Y1 - 2009/3/31
N2 - We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130° blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome.
AB - We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130° blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome.
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U2 - 10.1002/micr.20598
DO - 10.1002/micr.20598
M3 - Article
C2 - 19021230
AN - SCOPUS:63049125167
SN - 0738-1085
VL - 29
SP - 240
EP - 243
JO - Microsurgery
JF - Microsurgery
IS - 3
ER -