{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T15:25:33Z","timestamp":1767713133806},"reference-count":32,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"7","license":[{"start":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T00:00:00Z","timestamp":1435708800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p> We evaluated the outcome of treatment of nonunion of an intracapsular fracture of the femoral neck in young patients using two cannulated screws and a vascularised bone graft. A total of 32 patients (15 women and 17 men, with a mean age of 36.5 years; 20 to 50) with failed internal fixation of an intracapsular fracture were included in the study. Following removal of the primary fixation, two cannulated compression screws were inserted with a vascularised iliac crest bone graft based on the ascending branch of the lateral femoral circumflex artery. <\/jats:p><jats:p> At a mean follow-up of 6.8 years (4 to 10), union was achieved in 27 hips (84%). A total of five patients with a mean age of 40.5 years (35 to 50) had a persistent nonunion and underwent total hip arthroplasty as also did two patients whose fracture united but who developed osteonecrosis of the femoral head two years post-operatively. Statistical analysis showed that younger patients achieved earlier and more reliable union (p &lt; 0.001). The functional outcome, as assessed by the Harris Hip score, was better in patients aged &lt; 45 years compared with those aged &gt; 45 years (p &lt; 0.001). <\/jats:p><jats:p> These findings suggest that further fixation using two cannulated compression screws and a vascularised iliac crest bone graft is an effective salvage treatment in patients aged &lt; \u00a045 years, in whom osteosynthesis of a displaced intracapsular fractures of the femoral neck has failed. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015; 97-B:988\u201391. <\/jats:p>","DOI":"10.1302\/0301-620x.97b7.34970","type":"journal-article","created":{"date-parts":[[2015,6,30]],"date-time":"2015-06-30T13:49:54Z","timestamp":1435672194000},"page":"988-991","update-policy":"http:\/\/dx.doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Salvage of failed osteosynthesis of an intracapsular fracture of the femoral neck using two cannulated compression screws and a vascularised iliac crest bone graft"],"prefix":"10.1302","volume":"97-B","author":[{"given":"Y.","family":"Xiaobing","sequence":"first","affiliation":[{"name":"Zhongshan Hospital of Dalian University, Dalian, 116001, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Dewei","sequence":"additional","affiliation":[{"name":"Zhongshan Hospital of Dalian University, Dalian, 116001, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","first-page":"S120","volume":"95","author":"Wongwai T","year":"2012","journal-title":"J Med Assoc Thai"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01081"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B11.29689"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1177\/230949901202000211"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-011-1395-1"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B6.26432"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.10.005"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1757-7861.2012.00192.x"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.01.114"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B11.32896"},{"key":"r11","doi-asserted-by":"crossref","unstructured":"Polacek M, Smabrekke A. 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