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

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)e45-e48
JournalHIP International
Volume26
Issue number6
DOIs
Publication statusPublished - Nov 1 2016

Keywords

  • Cell- and tissue-based therapy
  • Child
  • Femoral neck fractures
  • Mesenchymal stromal cells
  • Platelet-rich plasma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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