Journal of AdvancedMedical and Dental Sciences Research

Background:The current investigation aims to assess the efficacy of utilizing a fibular graft in conjunction with supplementary fixation devices, such as cancellous hip screws. This study seeks to explore both the benefits and drawbacks of this approach in managing closed fractures of the femoral neck.Methods:A total of 72 patients were included in this study, and a retrospective analysis was conducted on prior cases involving the treatment of femoral neck fractures using fibular grafts and cancellous hip screws. Upon admission, a thorough assessment of each patient was performed, with specific attention given to identifying any associated injuries or medical conditions. If deemed necessary based on the patient's condition, pre-operative measures were taken, including immobilization of the fractured limb using upper tibial pin traction or above-knee skin traction. Standard blood and urine examinations were conducted, addressing any identified medical conditions. Following these preparations, the patient underwent a pre-anesthetic check-up and was scheduled for surgery at the earliest possible time.Results:Our study yielded satisfactory outcomes, with 26 cases in group I and 18 cases in group II showing positive results. However, in 4 cases of group I, the fractures united in malposition, leading to noticeable joint motion restrictions or early avascular necrosis, causing pain during exertion. Similarly, in 8 cases of group II, fractures united in malposition, resulting in appreciable joint motion restrictions or early avascular necrosis leading to exertion-related pain. Additionally, 4 fractures in group I failed to unite, and in 2 cases, extensive avascular necrosis of the head caused severe rest pain and significant impairment of function.Conclusion:Hence, our conclusion is that fibular grafting procedures for intracapsular fractures of the femoral neck yield positive outcomes when executed with meticulous technical precision. This approach provides effective stability, particularly in cases of femoral neck fractures with posterior comminution—a common occurrence where metallic fixation devices are prone to losing their stability.