{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:54:29Z","timestamp":1791449669476,"version":"4.3.3"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nFemoral neck fractures with posterior comminution are associated with instability, impaired fracture healing and a higher risk of fixation failure. In young and middle-aged patients, preservation of the femoral head is preferred and stable internal fixation remains a challenge due to posterior cortical defects. Augmentation with a fibular strut graft may enhance mechanical stability and promote union.\n\nObjectives:\nThe aim of this study was to evaluate the functional outcome of femoral neck fractures with posterior comminution treated using dynamic hip screw (DHS) fixation combined with a non-vascularized fibular strut graft.\n\nMaterials and Methods:\nThis prospective case series included six patients aged between 20 and 60 years with radiologically confirmed femoral neck fractures with posterior comminution. All patients underwent closed reduction and internal fixation using a DHS with augmentation by a non-vascularized fibular strut graft. Postoperatively, patients followed a standardized rehabilitation protocol. Functional outcomes were assessed using the Modified Harris hip score at 3 and 6 months of follow-up.\n\nResults:\nAt 3 months, outcomes were excellent in three patients, good in two and poor in one. By 6 months, functional status remained stable in the five patients with good or excellent results, while the patient with a poor outcome showed further deterioration.\n\nConclusion:\nDHS fixation augmented with a non-vascularized fibular strut graft provides satisfactory short-term functional outcomes in femoral neck fractures with posterior comminution.\n\nKeywords:\nFemoral neck fracture , posterior comminution , dynamic hip screw , fibular strut graft and modified Harris hip score<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i10.8320","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:29:20Z","timestamp":1791448160000},"page":"478-484","source":"Crossref","is-referenced-by-count":0,"title":["Functional Outcome of Femoral Neck Fractures with Posterior Comminution Managed by Dynamic Hip Screw with Fibular Strut Grafting: A Case Series Study"],"prefix":"10.13107","volume":"16","author":[{"given":"M S","family":"Swaroop","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Athani Hospital, Palakkad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Mohith","family":"Rajeek","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Mandya Institute of Medical Sciences, Mandya, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G Ramakrishna","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Government Medical College, Bhongir Mandal, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y Thimma","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Kakatiya Medical College, Warangal, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:29:22Z","timestamp":1791448162000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/10\/functional-outcome-of-femoral-neck-fractures-with-posterior-comminution-managed-by-dynamic-hip-screw-with-fibular-strut-grafting-a-case-series-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i10.8320","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}