Muscle pedicle bone graft in ununited fracture neck of femur in children

Delayed presentation of fracture neck femur is not uncommon in our scenario and difficult to treat because precarious vascularity bony defect at site. The purpose the present study analysis functional outcome muscle pedicle bone graft porcedure ununited children adolescents. : Sixteen patients with (presenting late) adolescents were treated quadratus femoris based along open reduction internal fixation. Mean age patient was 14.25 year (range 12-16 years). Boys dominated series (n= 10 i.e.62.50%). Road traffic accident leading cause. Average injury –surgery interval 5.88 week 3-9 week). A minimum follow up two years. There 2 Transepiphyseal, 11 Transcervical 3 Cervicotrochanteric fractures. Most cases showed union 16 24 weeks. In one case there implant failure. result analysed using Harris Hip Score. We had (68.75%) excellent, (12.50%) Good, 2(12.50%) Fair (06.25%) Poor results series. Quadratus Muscle fixation a very effective method address problem non-union femur. statistically significant association (p value <.005) between accuracy outcome.