title: Evaluation of osteosynthesis with dual fibular bone grafting for neglected femoral neck fractures.
abstract: BACKGROUND
  Femoral neck fractures in young adults is an unsolved problem and neglected femoral neck fractures presents more challenge to the orthopaedics surgeon if femoral head salvage is attempted. We reviewed the operative results of neglected femoral neck fractures in young adults with fixation with dual fibular bone grafting Purpose of study was evaluation of epidemiological, clinical, functional, rehabilitative outcome and complications in such patients.
  
  
  METHODS
  Twentyeight patients in age group 18-50 years were operated having fracture neck femur by dual fibular bone grafting in the Department of Orthopaedics, S.N. Medical College, Agra in (May 2005-February 2008) and divided into two groups. Group A: comprised of 8 patients treated by dual fibular bone grafting alone and Group B: comprised of 18 patients treated by dual fibular bone grafting with single cancellous hip screw.
  
  
  RESULTS
  All the patients of the present series were having neglected intracapsular fracture, neck femur which were treated by dual fibular bone grafting with or without cancellous hip screw fixation. Majority of the patients had good to fair result according to Larson method with average time of union 16 weeks. All patients had useful range of movement at hip. Satisfactory union was achieved in all patients except two.
  
  
  CONCLUSIONS
  Double bone grafting is a simple and cost effective modality of treatment for late femoral neck fracture with good results. It is a stable and biological method of fixation with preservation of natural femoral head with fewer complications.
authors.affiliation: Specialist - Orthopaedics, Bokaro General Hospital, Bokaro, India.
authors.forename: Atin
authors.initials: A
authors.lastname: Jaiswal
authors.affiliation: Professor, S.N. Medical College, Agra, India.
authors.forename: K K
authors.initials: KK
authors.lastname: Pruthi
authors.affiliation: Professor, S.N. Medical College, Agra, India.
authors.forename: R K
authors.initials: RK
authors.lastname: Goyal
authors.affiliation: S.N. Medical College, Agra, India.
authors.forename: Vineet
authors.initials: V
authors.lastname: Pathak
authors.affiliation: Senior Resident, PGIMER & Dr RML Hospital, New Delhi, India.
authors.forename: Masood
authors.initials: M
authors.lastname: Habib
authors.affiliation: Senior Resident, PGIMER & Dr RML Hospital, New Delhi, India.
authors.forename: Yashwant S
authors.initials: YS
authors.lastname: Tanwar
authors.affiliation: Senior Resident, PGIMER & Dr RML Hospital, New Delhi, India.
authors.forename: Satyaprakash
authors.initials: S
authors.lastname: Singh
authors.affiliation: Bokaro General Hospital, Bokaro, India.
authors.forename: Rupak
authors.initials: R
authors.lastname: Chaterjee
keywords: Biological; Double fibular bone grafting; Fracture neck femur; Neglected