Archives of Orthopaedic and Trauma Surgery

, Volume 138, Issue 9, pp 1235–1239 | Cite as

Head salvage of an infected neck of femur fracture in an adult: a case report

  • Christina Marie Joseph
  • Thilak Samuel Jepegnanam
Trauma Surgery


Head preservation of an infected neck of femur fracture appears to be extremely rare with no described cases in literature till date. We present the outcome of head salvage in a young adult with an infected neck of femur nonunion who in addition had chronic osteomyelitic sequelae of his entire femur with reactivation of latent infection in the distal femoral diaphysis. Osteosynthesis was performed by means of cancellous screw fixation augmented with bone substitute following a failed attempt at salvage with a valgus intertrochanteric osteotomy. The patient had an excellent functional outcome with near normal hip range of movements at a follow-up of 5 years after union.


Infected neck of femur Non-union Adult Head salvage Osteosynthesis Functional outcome 



There is no funding source.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Christina Marie Joseph
    • 1
  • Thilak Samuel Jepegnanam
    • 1
  1. 1.Department of Orthopaedics Unit 3Christian Medical CollegeVelloreIndia

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