Ann Trauma Acute Care | Volume 1, Issue 1 | Case Report | Open Access

A Case of Femoral Neck Fracture in a 19-year-old with Subsequent Non-Union and Avascular Necrosis

Francis Sim¹, Peter V. Giannoudis² and Nikolaos K. Kanakaris^3*

¹Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, UK
²Department of Trauma and Orthopaedics, University of Leeds, UK
³Leeds Teaching Hospitals NHS Trust, UK

^*Correspondance to: Nikolaos K Kanakaris 

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Abstract

Low energy intra capsular neck of femur fractures in young adults represents a rare clinical entity. The prompt reduction and surgical fixation of these fractures, preserving the hip joint and allowing the uncomplicated union of this anatomic area remains challenging. An example of such a case on a young long-distance runner is presented, where a combination of non-union of the fracture site, as well as a grade IIB avascular necrosis area followed the initial closed reduction and internal fixation. These complications were successfully managed with a single revision surgery where the full array of the diamond concept was applied. The patient progressed to an uneventful healing of the non union of the femoral neck, reverse of avascular necrosis, preservation of the hip joint anatomy and return to the full spectrum of activities including sports.

Citation:

Sim F, Giannoudis PV, Kanakaris NK. A Case of Femoral Neck Fracture in a 19-year-old with Subsequent Non-Union and Avascular Necrosis. Ann Trauma Acute Care. 2017; 1(1): 1003.