Refixation, allograft and adjuvant cell therapy to treat nonunion of the femoral neck in a child
Hip Int 2016; 26(6): e45 - e48
Article Type: CASE REPORT
AuthorsMarina Magnani, Giovanni Trisolino, Stefano Stilli
Idiopathic posttraumatic nonunion is a rare condition in children; the treatment of this complication is still controversial in this peculiar population.
We report a case of a subcapital type II femoral neck fracture, in a 12-year-old boy, which was initially treated by internal fixation and subsequently went on to a nonunion at the femoral neck, in absence of infection or other disease.
1 year after index surgery we performed surgical debridement and refixation with plate and bone allograft, added with autologous bone marrow aspiration concentrate (BMAC) and platelet-rich fibrin (PRF).
After 3 months the nonunion healed and the boy was allowed full weight-bearing.
Combined surgery and adjuvant cell therapy can be considered an option of treatment in nonunion of the femoral neck in the paediatric population.
- • Accepted on 31/07/2015
- • Available online on 15/10/2016
- • Published online on 10/11/2016
This article is available as full text PDF.
- Magnani, Marina [PubMed] [Google Scholar]
- Trisolino, Giovanni [PubMed] [Google Scholar] , * Corresponding Author (email@example.com)
- Stilli, Stefano [PubMed] [Google Scholar]
Complex Structure of Paediatric Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna - Italy