Sarabjeet Kohli1, Nilesh Vishwakarma2, Kuldeep Salgotra3, Siddhant Jain4
INTRODUCTION
Neglected, untreated and delayed neck femur fractures are commonly encountered fractures and the treatment dilemma arises specially when the patient is physiologically young and osteosynthesis is the preferred option. Past literature creates confusion as the various head salvage surgeries like valgus subtrochanteric osteotomy, non-vascularised fibular bone grafting, muscle pedicle bone grafting (Tensor fascia lata (TFL) and Quadratus femoris graft) and vascularised bone grafting do not have clear lines of indications.
We present a series of fracture neck femur cases, each with delayed presentation beyond the vascular emergency period, which were treated with osteosynthesis with MPBG using tensor fascia lata muscle pedicle graft.
