Thirty patients with old displaced femoral neck fractures have been treated by accurate reduction, two Asnis-type cannulated screws and whole free fibular graft fixation. Patients were of the age group 18yrs–50yrs, presented to our centre 3–6 months post injury and included Garden’s grade III/IV fractures with varying degrees of neck reabsorption, but no avascular necrosis. No plaster was applied, and early return to function encouraged. Bony union was achieved in 27 (90%) of the cases with a mean time of 19.5 weeks, varying from 16wks–24wks. Good function was seen in all patients with union in subsequent follow up of up to 10years.

Our procedure allows early return of function in a young active population disabled by femoral neck fractures and compounded by neglect of early treatment.