Valgus intertrochanteric osteotomy for non-union
of femoral neck fracture
- Affiliated Author(s)
- 민병우; 배기철; 강철형; 송광순
- Alternative Author(s)
- Min, Byung Woo; Bae, Ki Cheor; Kang, Chul Hyung; Song, Kwang Soon
- Journal Title
- Injury
- ISSN
- 0020-1383
- Issued Date
- 2006
- Abstract
- Summary In spite of improved surgical techniques and fixation devices, non-union
still reportedly occurs in 10—30% of cases of femoral neck fracture. Avariety of methods
of treatment that preserve the femoral head have been described, yet there are few
reports on the results of valgus intertrochanteric osteotomy in cases of femoral neck
non-union. We treated 11 such cases with valgus intertrochanteric osteotomy performed
at one centre and using a single surgical technique. The cases were evaluated
clinically and radiographically at a mean of 4.9 years. All of the non-unions were shown
radiographically to have healed by an average of 12.5 weeks. Functional outcome was
excellent for nine patients and poor for two who underwent subsequent total hip
arthroplasty for avascular necrosis of the femoral head. We conclude that valgus
intertrochanteric osteotomy is an effective treatment for femoral neck non-union, but
avascular necrosis of the femoral head is a possible complication.
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