[HTML][HTML] Femoral Neck Non-Union-A Biomechanical Solution with Valgus Sliding Subtrochanteric Osteotomy: A Case Report

KH Teh, JK Ruben, CK Chan… - Malaysian Orthopaedic …, 2020 - ncbi.nlm.nih.gov
KH Teh, JK Ruben, CK Chan, AA Abbas
Malaysian Orthopaedic Journal, 2020ncbi.nlm.nih.gov
Avascular necrosis and non-union are two most dreaded complications of femoral neck
fracture fixations. Hip replacement seems to be a simple solution for this complex problem.
However, the long-term efficacy of prosthetic replacement in the young population with
higher functional demand is still questionable. Femoral head preserving valgus
subtrochanteric osteotomies in properly selected cases have strong support from literature.
The conventional technique of valgus subtrochanteric osteotomy involves lateral based …
Abstract
Avascular necrosis and non-union are two most dreaded complications of femoral neck fracture fixations. Hip replacement seems to be a simple solution for this complex problem. However, the long-term efficacy of prosthetic replacement in the young population with higher functional demand is still questionable. Femoral head preserving valgus subtrochanteric osteotomies in properly selected cases have strong support from literature. The conventional technique of valgus subtrochanteric osteotomy involves lateral based wedge resection. Alternatively, a simpler sliding oblique subtrochanteric osteotomy without any wedge removal can also be performed. We hereby describe a successful case of sliding subtrochanteric osteotomy with 135 dynamic hip screw (DHS) plate fixation in treating non-union neck of femur fracture in a young gentleman.
ncbi.nlm.nih.gov
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