In adolescents and young adults, femoral neck fractures often result from high-velocity trauma. These fractures are usually of vertical shear pattern. There is an increased incidence of avascular necrosis and non-union, which is difficult to treat. Non-union of fractured neck of femur in young adults is a serious problem. There is growing evidence that these fractures should be treated with an angle-stable device to improve biomechanics at the fracture site. An ideal implant should prevent varus deformation and retroversion of the fracture in order to prevent failure of the osteosynthesis and thus preventing cut-out of implant and non-union at the fracture site. We report the first use of an Orthofix Gottfried Percutaneous Compression Plate (PC.C.P.) (Orthofix, Guilford, UK) to treat a non-union of an intra-capsular fractured neck of femur. We recommend this, in combination with autologous bone grafting, via a mini hip modification of the Smith–Petersen approach.
Boston DA (1982) Bilateral fractures of the femoral neck. Injury 14:207-210
Hirsch C, Frankel VH (1960) Analysis of forces producing fractures of the proximal end of the femur. J Bone Joint Surg Br 42:633-640
Gray AJ, Parker MJ (1994) Intra-capsular fractures of the neck of the femur in young patients. Injury 25:667-669
Protzman RF, Burkhalter WE (1976) Femoral neck fractures in young adults. J Bone Joint Surg Am 58:689-695
Min B et al (2003) Valgus intertrochanteric osteotomy for non-union of femoral neck fracture. Injury 37:786-790
Brandt E et al (2006) Biomechanical analysis of the percutaneous compression plate with sliding hip screw in intracapsular fracture neck of femur Experimental assessment using synthetic and cadaver bone. Injury 37:979-983
Swiontkowski M et al (1987) Torsion and bending analysis of internal fixation of femoral neck fractures; the role of implant design and bone density. J Orthop Res 5:433-444
Bensafi H et al (2006) The percutaneous compression plate (PCCP) in the treatment of trochanteric hip fractures in elderly patients. Acta Orthop Belg 72:314-319
Brandt SE et al (2002) Percutaneous compression plating (PCCP) versus the dynamic hip screw for pertrochanteric hip fractures: preliminary results. Injury 33:413-418
Gotfried Y (2000) Percutaneous compression plating for intertrochanteric hip fractures. J Orthop Trauma 14:490-495
Gotfried Y (2002) Percutaneous compression plating for intertrochanteric hip fractures: treatment rationale. Orthopedics 25: 647-652
Molnar RB, Routt ML (2007) Open reduction of intracapsular hip fractures using a modified smith-petersen surgical exposure. J Orthop Trauma 21:490-494
Poulter RJ, Ashworth MJ (2007) Concomitant ipsilateral subcapital and intertrochanteric fractures of the femur. Injury extra 38:88-89