[Treatment of old femoral neck and nonunion with free vascularized fibular grafting].
OBJECTIVE
To evaluate the clinical result of the treatment of old femoral neck fracture and nonunion with free vascularized fibular grafting.


METHODS
From November 2000 to December 2005, 29 cases with old femoral neck fracture and nonunion had been treated by free vascularized fibular grafting with an average follow-up of 28.5 months.


RESULTS
All the fracture were healed without any severe complications. And the healing time was 4-6 months (5.6 months on average). During the follow-up, the hips of 28 cases got well-function, and the average Harris hip score was 88.2. One case came about with osteonecrosis of femoral head after one year and finally accepted THA after 2 years.


CONCLUSIONS
The free vascularized fibular grafting is a valuable procedure to treat old femoral neck fracture and nonunion.
Zhang
Chang-Qing
CQ
Department of Orthopaedics, the Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China. zhangcq@shtel.net.cn
Xu
Jun
J
Sheng
Jia-Gen
JG
Zhang
Kai-Gang
KG
Li
Hong-Shuai
HS
Zeng
Bing-Fang
BF
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D005500:Follow-Up Studies; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult