Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head

A case report with a long-term follow-up

Alexandros E. Beris, Marios G. Lykissas, Alexander Payatakes, Vasileios A. Kontogeorgakos, Alexandros Mavrodontidis, Anastasios V. Korompilias

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130° blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome.

Original languageEnglish (US)
Pages (from-to)240-243
Number of pages4
JournalMicrosurgery
Volume29
Issue number3
DOIs
StatePublished - Mar 31 2009

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Femoral Neck Fractures
Osteonecrosis
Thigh
Aneurysmal Bone Cysts
Transplants
Hip
Magnetic Resonance Imaging
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Beris, Alexandros E. ; Lykissas, Marios G. ; Payatakes, Alexander ; Kontogeorgakos, Vasileios A. ; Mavrodontidis, Alexandros ; Korompilias, Anastasios V. / Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head : A case report with a long-term follow-up. In: Microsurgery. 2009 ; Vol. 29, No. 3. pp. 240-243.
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Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head : A case report with a long-term follow-up. / Beris, Alexandros E.; Lykissas, Marios G.; Payatakes, Alexander; Kontogeorgakos, Vasileios A.; Mavrodontidis, Alexandros; Korompilias, Anastasios V.

In: Microsurgery, Vol. 29, No. 3, 31.03.2009, p. 240-243.

Research output: Contribution to journalArticle

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AB - We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130° blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome.

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