fracture neck femur 6 months old

Dr. B. Shivashankar President NAILS 2008-09

( National Association of Inter Locking Surgeons )President Elect MOA

(Maharashtra Orthopaedic Association)Iyer Ortho CentreSOLAPUR, India

Fracture Neck femur in Young Adult

Photo Album of Fracture Neck Femur

Young Adult of 20 yearsSustained Fracture Neck Femur in April 2012

First Fixation resulted in cut throughImplants were removed in May 2012

Presented after 5 months in September 2012

Current Pictures

MRI to confirm Vascularity / Viability of Head

Plan was to fix fibula graft to fill the earlier DHS tractRe Fix with DHSTo do Abduction Osteotomy

Problems facedFibula graft could be passed as per planBut while passing DHS screw, as the bone was very soft inferiorly and also due to the fibular strut, the screw got pushed too much inferiorly inadvertently - position accepted .

Also the high sub trochanteric osteotomy gotConnected with the large hole of barrel plate.So to avoid too much medialisation,Additional trochanteric wiring was done

DISCLAIMER

• This presentation is prepared for dissipation of general knowledge.

• All pictures have been taken by the author• It is intended for use only by the students of orthopaedic

surgery. Views expressed in this presentation are personal.• This should not be used in any court of law as evidence. This is

not the only way of treating these types of fractures, but one of the way.

• For any confusion please contact the author for clarification.• Every body is allowed to copy or download and use the

material best suited to him. And should give credit to the author if used any where. There is no financial involvement.

• For any correction or suggestion please contact <drbshivashankar@gmail.com>