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- Title
Role of Valgus Osteotomy and Fixation with Double Angle Blade Plate in the Management of Neglected and Ununited Femoral Neck Fracture.
- Authors
AGGARWAL, HARI OM; BAKSHI, AMANDEEP SINGH; CHAWLA, HARJIT K. SINGH; JAIN, AYUSH; SINGH, JASPREET
- Abstract
Introduction: Femoral neck fracture non union in young patients is a challenging complication as joint replacement is not readily recommended and hip salvageable procedures are relatively unsatisfactory. Valgus intertrochanteric osteotomy described by Pauwels is one of the treatment options for management of non union of femoral neck in young patients, which was later reciprocated by other surgeons. Aim: To assess the efficacy of valgus osteotomy and fixation with double angle blade plate in the management of neglected and ununited femoral neck fracture. Materials and Methods: This was a prospective cohort study, which included 30 patients of femoral neck fracture non union in whom intertrochanteric valgus osteotomy was performed and fixed with 120° double angled blade plate. The preoperative and postoperative neck-shaft angle was compared using the paired t-test. A p-value of <0.05 indicated statistically significant result. Results: There were 22 males (73.3%) and 8 females (26.7%). Mean age of patients was 35 years. Delay in presentation ranged from 8 weeks to 58 weeks (mean 24 weeks). By Pauwel's classification, there were 13 Type II fractures and 17 Type III fractures. Mean follow-up was 18 months (12 to 36 months). The mean preoperative neck-shaft angle of 95° (range 80-110°) increased to 132° (range 120-140°) after surgery. In all patients, there was improvement in leg length discrepancy after osteotomy. Femoral neck fractures united in 25 patients (83.3%). Conclusion: Valgus osteotomy and fixation with 120° double angle blade plate is a reliable method for treating non union femoral neck fracture in young adults. It provides rigid internal fixation and good results.
- Subjects
FEMORAL neck fractures; HIP fractures; OSTEOTOMY; LEG length inequality; PERIPROSTHETIC fractures; HEMIARTHROPLASTY; FEMUR neck
- Publication
Journal of Clinical & Diagnostic Research, 2021, Vol 15, Issue 7, p8
- ISSN
0973-709X
- Publication type
Article
- DOI
10.7860/JCDR/2021/44597.15169