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.
- Cell- and tissue-based therapy
- Femoral neck fractures
- Mesenchymal stromal cells
- Platelet-rich plasma
ASJC Scopus subject areas
- Orthopedics and Sports Medicine