Abstract
Background
In young patients with femoral neck non-union it is desirable to preserve the femoral head. The objective of this study was to assess the outcome results of revision internal fixation and nonvascular fibular bone grafting
Patients and Methods:
Ten patients with non united fracture neck femur were included in this prospective study. Fixation was done with two cancellous screws leaving behind a space between two screws for fibular strut graft. Assessment of union was done by both clinical and radiological criteria.
Results:
union was achieved in 8 cases in an average time of 16 weeks (range 12–20 weeks). There was no infection, thromboembolic complications, donor site morbidity or implant failure in our series.
Conclusion:
Nonvascularized fibular strut graft along with cancellous screws provides a biological and mechanically sound method of treatment. Fibula being cortical provides mechanical strength besides stimulating union and getting incorporated as biological graft.
