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Refixation, allograft and adjuvant cell therapy to treat nonunion of the femoral neck in a child

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

DOI:10.5301/hipint.5000453

Authors

Marina Magnani, Giovanni Trisolino, Stefano Stilli

Abstract

Introduction

Idiopathic posttraumatic nonunion is a rare condition in children; the treatment of this complication is still controversial in this peculiar population.

Case report

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.

Conclusions

Combined surgery and adjuvant cell therapy can be considered an option of treatment in nonunion of the femoral neck in the paediatric population.

Article History

Disclosures

Financial support: None.
Conflict of interest: None.

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Authors

Affiliations

  • Complex Structure of Paediatric Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna - Italy

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