THE DETERMINATION OF FREQUENCY OF NON-UNION POST-DOUBLE FIBULAR-GRAFTING WITHOUT CANCELLOUS HIP-SCREW FIXATION WHILE TREATING NEGLECTED FEMORAL NECK FRACTURES

Objectives: The research objective is the determination of non-union frequency after double-fibular bone-grafting without the fixation of cancellous hip-screw while treating the neglected femoral neck-fractures.

Materials & Methods: We conducted this descriptive case-series study at the Orthopaedic Department of Services Hospital, Lahore from March to November 2017. We selected 117 patients with NFF, from both genders, having (20 – 50) year’s age. We excluded patients having aseptic non-union, pathological fractures, medical co-morbidity (Chronic steroid, CLD, CRF etc.). We did DFB grafting without CHS fixation among all patients. We continued post-operation follow-up until the outcome for all patients.

Results: The number of male and female patients was 72.65% (85), and 27.35% (32) out of 117 respectively (Male-to-female ratio of 2.6:1) with the mean age of (35.1 ± 7.6) years. We found fracture’s mean duration as (1.4 ± 0.89) months among most (88) patients having more (≤ 03) months. The number of patients with non-union and union was 13.6% (16) and 86.32% (101) respectively.

Conclusion: Our study concludes an outcome with a low frequency of non-union after DFB grafting without CHS fixation while treating NFNF.

Keywords: Neglected Femoral Fracture (NFF), Neglected Femoral Neck Fractures (NFNF), Double Fibular Bone (DFB), Femoral Neck Fractures (FNF), Cancellous Hip Screw (CHS), and Non-union.