Combination of modified free vascularized fibular grafting and reverse Less Invasive Stabilization System (LISS) for the management of femoral neck nonunion in patients thirty years of age or younger

Lin, Sen; Zhang, Changqing; Jin, Dongxu

doi:10.1016/j.injury.2015.04.018

Cited by 7 publications

(3 citation statements)

References 43 publications

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“…As a result of these alterations, a valgus osteotomy can cause persistent limp and technical difficulty if total hip arthroplasty is needed. 17–19 Results of non-vascularised grafting for the femoral neck fractures are variable and non-vascularised grafting is becoming out of date when compared to vascularised graft options. However, vascularised bone grafting has approximately 17% donor site or graft site morbidity.…”

Section: Discussionmentioning

confidence: 99%

Results of quadratus femoris muscle pedicle bone grafting (Meyers’ procedure) in the management of ununited femoral neck fractures

et al. 2020

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Purpose: Femoral neck fractures in young patients are associated with increase complication risk. The objective of this study was to evaluate the results of quadratus femoris muscle pedicle grafting in the treatment of ununited femoral neck fractures. Methods: This study includes 16 patients with ununited femoral neck fractures treated with quadratus femoris muscle pedicle graft. 7 patients had neglected femoral neck fractures while 9 had ununited femoral neck fractures after fixation. Quadratus femoris muscle with 2 × 1 × 1 cm (length-width-height) bone in its insertion was elevated and placed in the posterior cortex of the femoral neck with additional cancellous graft from the posterior iliac bone. The graft was fixed with 3.5-mm cortical screws. Results: The average follow-up period was 96 weeks and the radiological union occurred at an average of 7 months. The femoral inclination of all patients was 128.5° ± 3.9° with an average 7 (range 0–35) mm thigh atrophy in the last follow-up visit. Only 1 patient (6%) had avascular necrosis of the femoral head and was treated with hip arthroplasty. Conclusions: Quadratus femoris muscle pedicle grafting provides better stability and blood supply in ununited femoral neck fractures. Achieving fracture union provides better clinical and functional results in the treatment of femoral neck fractures.

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Section: Discussionmentioning

confidence: 99%

Results of quadratus femoris muscle pedicle bone grafting (Meyers’ procedure) in the management of ununited femoral neck fractures

et al. 2020

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“…When compared to nailing in the treatment of proximal femur fractures, reverse LISS more effectively avoided coxa vara and may be indicated for patients with very severe osteoporosis [ 6 , 7 , 16 ]. Our group has also shown successful application of reverse LISS in a series of femoral neck nonunion revision surgeries [ 3 ]. In this current case report, this technique was also proven to be a good alternative solution to treat hip fractures in polio survivors with significant hip deformities and low bone quality.…”

Section: Discussionmentioning

confidence: 99%

“…The reverse less invasive stabilization system (LISS) is an emerging technique to treat hip fractures. Recently, it has been proven to be a good alternative fixation method in the treatment of unstable proximal femur fractures as well as femoral neck non-unions [ 3 – 7 ]. In this case report, we successfully treated two hip fractures with poliomyelitis sequelae (one femoral neck fracture and one subtrochanteric fracture) by using the reverse LISS plating technique.…”

Section: Introductionmentioning

confidence: 99%

Reverse Less Invasive Stabilization System (LISS) Plating for Proximal Femur Fractures in Poliomyelitis Survivors: A Report of Two Cases

Chen¹,

Jin²,

Zhang³

2017

Am J Case Rep

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Case seriesPatient: Female, 50 • Male, 60Final Diagnosis: Proximal femur fracturesSymptoms: Hip painMedication: —Clinical Procedure: Internal fixation surgerySpecialty: Orthopedics and TraumatologyObjective:Management of emergency careBackground:Poliomyelitis is a neuromuscular disease which causes muscle atrophy, skeletal deformities, and disabilities. Treatment of hip fractures on polio-affect limbs is unique and difficult, since routine fixation methods like nailing may not be suitable due to abnormal skeletal structures.Case Report:We report one femoral neck fracture and one subtrochanteric fracture in polio survivors successfully treated with reverse less invasive stabilization system (LISS) plating technique. Both fractures were on polio-affected limbs with significant skeletal deformities and low bone density. A contralateral femoral LISS plate was applied upside down to the proximal femur as an internal fixator after indirect or direct reduction. Both patients had uneventful bone union and good functional recovery.Conclusions:Reverse LISS plating is a safe and effective technique to treat hip fractures with skeletal deformities caused by poliomyelitis.

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Fracture of Femoral Head and Femoral Neck

Zhang

Lin

2020

Hip Surgery

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Combination of modified free vascularized fibular grafting and reverse Less Invasive Stabilization System (LISS) for the management of femoral neck nonunion in patients thirty years of age or younger

Cited by 7 publications

References 43 publications

Results of quadratus femoris muscle pedicle bone grafting (Meyers’ procedure) in the management of ununited femoral neck fractures

Results of quadratus femoris muscle pedicle bone grafting (Meyers’ procedure) in the management of ununited femoral neck fractures

Reverse Less Invasive Stabilization System (LISS) Plating for Proximal Femur Fractures in Poliomyelitis Survivors: A Report of Two Cases

Fracture of Femoral Head and Femoral Neck

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