Treatment of femoral neck fracture with muscle-bone flap of both tensor fasciae latae and sartorius.
OBJECTIVE
To evaluate the effect of muscular pedicle bone grafts with sartorius or tensor fasciae latae and sartorius in fresh transcervical or subcapital fractures of the femoral neck.


METHODS
Thirty cases of fresh transcervical and subcapital fractures of the femoral neck were treated by the tail breakable screws and sartorius pedicle bone grafts (single muscular pedicle, SMP group). The other 23 cases were treated by cannulated pressure screws and bone grafts with the muscular pedicles of both sartorius and tensor fasciae latae (double muscular pedicles, DMP group).


RESULTS
Fifty-two cases were followed up for 3 to 5 years (mean, 4 years). In SMP group, ten cases showed poor therapeutic results. Excellent therapeutic effects were achieved in all cases of DMP group.


CONCLUSIONS
The transcervical or subcapital fractures of the femoral neck can be treated by double muscular pedicles bone graft. The bone graft with double muscular pedicles is more effective than single sartorius muscular pedicles for fresh transcervical and subcapital fractures of the femoral neck during short and medium terms.
Liu
Guo-ping
GP
Department of Orthopaedics, Shenzhen Hospital of Peking University, Shenzhen 518036, China. lguop@163.net
Kang
Bin
B
Zeng
Hui
H
Tang
Yuan-ke
YK
Tang
Xin-yu
XY
Xiong
Ao
A
Xie
Xiao-chen
XC
Huang
Wei
W
D016025:Bone Transplantation; D005206:Fascia Lata; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D011379:Prognosis; D013524:Surgical Flaps