Abstract

LEAL OLIVERA, Antonio et al. Fibular Bone Graft in Patients under 65 Years Old with Displaced Femoral Neck Fracture. Medisur [online]. 2012, vol.10, n.6, pp. 491-494. ISSN 1727-897X.

Background: Hip fractures account for over 10% of all skeletal fractures. Their treatment through replacement is very expensive and the economic situation experienced in Cuba makes its accessibility very difficult. Therefore, there is a need to use traditional methods. Objective: To describe the results of the technique of fibular bone graft in patients less than 65 years old with displaced femoral neck fracture. Methods: A case series study was conducted at the Dr. Gustavo Aldereguía Lima General University Hospital of Cienfuegos. It included 20 patients younger than 65 years old, who underwent surgery for displaced femoral neck fractures in which we used the traditional technique of bone grafting. The variables analyzed included: age, sex, graft healing time and complications. Results: 50% of patients were between 55 and 65 years old, 70% of them were females. 70% of patients (14) needed from 12 to 16 weeks for graft consolidation, 20% (4) required from 16 to 20 weeks. The predominant complication was joint stiffness of the knee or hip, which was presented in five patients (25%). Conclusions: fibular bone grafting in displaced femoral neck fracture is a valuable alternative, especially in patients under 65 years old.

Keywords : bone transplantation; fibula; femoral neck fractures; hip fractures.

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