[Pediculated anterior graft for reducing necrosis of the femur head in femoral neck fractures].
This article in addition of reviewing the current techniques of surgical treatment of femoral neck fractures, also presents a newly devised technique, in which by anterior approach the pediculated muscle bone graft from the anterior part of the greater trochanter with attached gluteus medius insertion is placed at anterosuperior part of the fractured femoral neck (type 3 & 4 Garden and old neglected fractures). This paper reviews the older techniques of Judet and Meyer in which the pediculated bone graft is taken from quadratus femoris insersion and placed posteriorly to the femoral neck which may compromise the important vascular supply (posterior subsynovial retinacular artery) posteriorly to the neck. The new anterior technique has been used for 20 patients successfully for the first time in department of orthopaedic surgery in Imam Reza Medical Center. In Mashhad-Iran from 21/3/93. The ultimate analysis of results will be possible 3 years after operation.
Rezvani
H
H
Travail du Service de Chirurgie orthopédique et traumatologique, hôpital Imam-Reza, Méshéd, Iran.
Rahimi
H
H
D016025:Bone Transplantation / Q000379:methods*; D005265:Femoral Neck Fractures / Q000601:surgery*; D005271:Femur Head Necrosis / Q000517:prevention & control*; D006801:Humans; D012307:Risk Factors
La greffe pédiculée antérieure pour réduire la nécrose de la tête fémorale dans les fractures cervicales.