Sartorius muscle pedicle iliac bone graft for treating neglected femoral neck fracture: A case series

Femoral neck fractures in patients less than 50 years account for less than 5 % of all hip fractures. Controversy remains regarding timing of surgery, operative technique, and optimal implant construct because of a lack of prospective clinical trials. The blood supply to the femoral head is tenuous and easily injured in the setting of displaced fractures. An alternative using sartorius muscle pedicle iliac bone graft has not been discussed widely. Four patients with neglected femoral neck fracture were included in the series; all underwent cannulated screws fixation and osteomuscular pedicled graft using sartorius muscle. All patients achieved bone healing after 6-months of follow-up. Our series demonstrate that sartorius muscle pedicle graft may be a good choice for treating neglected femoral neck fractures. Further studies are required to investigate its outcome and complications. •There is controversy regarding controversy remains regarding timing of surgery, operative technique, and optimal implant construct because of a lack of prospective clinical trials in the treatment of femoral neck fractures in the adult population.•The blood supply to the femoral head is tenuous and easily injured in the setting of displaced fractures.•An alternative using sartorius muscle pedicle iliac bone graft has not been discussed widely.