In spite of the improvement for the treatment of femoral neck fracture the incidence of noninion is more than 15%.
There are several surgical methods for treating the nonunion of femoral neck fracture. they are: osteosynthesis, osteotomy, prosthetic replacement, total hip arthroplasty, hanging hip and arthrodesis and so forth.
The muscle pedicle bone graft method fof the nonunion in femoral neck fracture was designed by Judet(1962) initially. This method is also applied for thepatients with nonunion, possivility of nonunion, or avascular necrosis of femoral head.
In this paper, the authors reported the results of muscle pedicle bone graft for the thre cases ofthe nonunion in femoral neck fracture. and one case of pathologic fracture at SoonChunHyang Hospital during from April 1988 toAugust 1990.
Two out of thd three cases of femoral neck fracture were treated by Richard hip serew and the other was applied by multiple pinning.
The cause ofnonunion was inaccurate reduction and inadequate position of implant. Mean duration from first operation to second operation was 11.3months. In the cases of pathologic fracture, 4 days after injury, curetage and muscle pedicle bone
grafting
were performed.
The complication were found leg length shortening and limitation of hip motion but painful
walking was not noted.
Clinical and radiological, bone union was obtained at 6 months after the operation.
In according to Lunceford's assessment, all four cases showed satisfactory results.
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