VALGUSING INTERTROCHANTERIC OSTEOTOMY FOR THE TREATMENT OF FEMORAL NECK NON-UNIONS: REPORT OF 32 CASES

The purpose of the present study was to review the results of femoral neck non-unions treatment with valgusing intertrochanteric osteotomy. Methods: Between 1988 and 2003 we treaded thirty two femoral neck non-unions with valgusing osteotomy and fixation. The mean follow-up time was 9.8 years and th...

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Bibliographic Details
Published in:Revista brasileira de ortopedia (English ed.) 2009-01, Vol.44 (2), p.159-163
Main Authors: Schwartsmann, Carlos Roberto, Telöken, Marco Aurélio, Boschin, Leonardo Carbonera, Schmiedt, Ivo, Falavinha, Ricardo, Crestani, Marcus Vinicius
Format: Article
Language:English
Subjects:
Femoral neck fractures
Original
Osteotomies
Pseudoarthrosis
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Summary:The purpose of the present study was to review the results of femoral neck non-unions treatment with valgusing intertrochanteric osteotomy. Methods: Between 1988 and 2003 we treaded thirty two femoral neck non-unions with valgusing osteotomy and fixation. The mean follow-up time was 9.8 years and the mean age was 41.7 years. Results: Twenty eight (87.4%) of the thirty two valgusing osteotomies evolved to femoral neck union, while four cases (12.6%) evolved to total hip arthroplasty. Eight cases evolved to partial osteonecrosis. Conclusions: The valgusing intertrochanteric osteotomy for treating femoral neck non-unions achieved consolidation in 87.4% (28/32). However, only 56.2% (18/32) achieved full recovery of hip function.
ISSN:2255-4971
2255-4971
DOI:10.1016/S2255-4971(15)30064-1