[Pediculated anterior graft for reducing necrosis of the femur head in femoral neck fractures]. 1996

H Rezvani, and H Rahimi
Travail du Service de Chirurgie orthopédique et traumatologique, hôpital Imam-Reza, Méshéd, Iran.

This article in addition of reviewing the current techniques of surgical treatment of femoral neck fractures, also presents a newly devised technique, in which by anterior approach the pediculated muscle bone graft from the anterior part of the greater trochanter with attached gluteus medius insertion is placed at anterosuperior part of the fractured femoral neck (type 3 & 4 Garden and old neglected fractures). This paper reviews the older techniques of Judet and Meyer in which the pediculated bone graft is taken from quadratus femoris insersion and placed posteriorly to the femoral neck which may compromise the important vascular supply (posterior subsynovial retinacular artery) posteriorly to the neck. The new anterior technique has been used for 20 patients successfully for the first time in department of orthopaedic surgery in Imam Reza Medical Center. In Mashhad-Iran from 21/3/93. The ultimate analysis of results will be possible 3 years after operation.

UI MeSH Term Description Entries
D005265 Femoral Neck Fractures Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES. Femur Neck Fractures,Femoral Neck Fracture,Femur Neck Fracture
D005271 Femur Head Necrosis Aseptic or avascular necrosis of the femoral head. The major types are idiopathic (primary), as a complication of fractures or dislocations, and LEGG-CALVE-PERTHES DISEASE. Aseptic Necrosis of Femur Head,Avascular Necrosis of Femur Head,Necrosis, Aseptic, of Femur Head,Necrosis, Avascular, of Femur Head,Avascular Necrosis Of Femoral Head, Primary,Femoral Head, Avascular Necrosis Of,Ischemic Necrosis Of Femoral Head,Femur Head Necroses,Head Necrosis, Femur,Necrosis, Femur Head
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D016025 Bone Transplantation The grafting of bone from a donor site to a recipient site. Grafting, Bone,Transplantation, Bone,Bone Grafting

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