Intertrochantrc osteotomy for the treated non union of fractures neck of femur
Abstract
Back Ground: Femoral neck fracture is a difficult problem in young adult patients and withoutproper treatment leads to high functional impairment and frequent complications.Objective: The aim of this study was to see the functional outcome in patients with non union offractures neck of femur treated with intertrochantric osteotomy.Materials and method: All 14 cases operated and non operated (neglected) fracture neck of femurwere enrolled for the study 2003 to 2009 in National Medical College, Birgunj and Janaki MedicalCollege, Janakpur. Patients were treated conservatively and in some patients failure of fixation wasused to evaluate the functional outcome.Results: There were 14 patients with average age of 30 years with age range 14-50 years. 8 patientswere male and six were female. 10 patients were previously treated conservatively and 4 patientspresented with failure of fixation. Average Duration of fracture was 7 months (2 months -4 years withpauwel angle of 32.8.Conclusion: Neglected fracture of neck of femur should be treated by three cancellous screw fixationwith molded and angled narrow DCP plate valgus osteotomy,autogenous bone grafting round thefracture to achieve a high rate of patient satisfaction and satisfactory functional outcome.References
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Cannulated cancellus Screw Fixation of Femoral Neck
Fracture. Ind J. Orthop 2000; 34: 151-152.
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displaced. Subcapital transcervical fracture of femoral
neck by muscle pedicle bone graft and internal
fixation. J Bone Joint Surg Am 1933; 55:257-274.
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Intertrochantric osteotomy for non-union of femoral
neck. J Bone Joint Surg (Br) 1989; 71: 782-787.
14. Doppelt SH, The sliding compression screw: Todays
best answer for stabilization for Intertrichantrchip
fracture. Ind J Orthop 2000; 34: 151-152.
15. Wu et al. Treatment of femoral neck nonunion with a
sliding compression screw: comparison with and
without subtrochantric valgus osteotomy. Injury.
1999; 46: 312-317.
16. Pring D. Biomechanics of hip. In: Barrett D. Essential
basic science for orthopaedics. Oxford: Butterwothr-
Heinemann. 194; 62-93.
17. Calandruccio RA, Anderson WE. Post fracture AVN
of femoral head: Correlation of experience and clinical
studies. Clin Orthop. 1980; 152: 49-84.
18. Stromquist B, Harrison LJ. Femoral head vitality after
femoral neck fractures- Comparison between per and
perioperative tetracycline labeling. Arch Orthop
Trauma Surg. 1983; 101-251.
19. Catto MA transcervical fractures. J Bone Joint Surg
(Br) 1965; 47:749-776.
1964: 46: 658-690
2. Protzman RR, Burkhalter WC. Femoral neck fractures
in young adults J. Bone Joint. 1976; 758: 689-695.
3. Zolezer L, Kazar G Manninger. Fracture of the femoral
neck in adolescence injury J Nagy E. 1972; 4: 41-46.
4. Kalra M, Anand M. Valgus inter trochenteric
osteotomy for neglected femoral neck fracture in
young adults. SICOT 2001; 25: 363-366.
5. Sandhu HS, Sandhu PS, Kapoor A. Neglected fracture
neck of Femur of femur apredchve classification and
treatment by Osteosynthesis. Clin Orthop Relat Res
2005; 431: 1420.
6. Pauwels F. Der Schenkelhalsbruch ein mechanics
Problem: Grundlagen des Heliungsvorganges,
Prognose and kausale Therapie. Stuttgart; Ferdinand
Enke Varlag 1935.
7. Stewart MJ and Wells RE. J Bone joint. Surg Am 1956:
33-49.
8. Sharma M, Sood LK, Kanojia RK, Alok Sud. Valgus
Osteotomy for nonunion fracture neck femur. Ind J.
Orthop 2004; 38 (2): 88-91.
9. Askin SR. Bryan RS. Femoral neck fracture in young
adults. Clin Orhto 1976; 114: 259-264.
10. Bout CA. Perchutaneous cannulated cancellus screw
Fixation of femoral neck fracture.
Three point Principle Injury 1997; 28: 135-139
11. Sud A. Closed Reduction and Percutaneous
Cannulated cancellus Screw Fixation of Femoral Neck
Fracture. Ind J. Orthop 2000; 34: 151-152.
12. Meyers MH. Harvey JP, Moore TM. Treatment of
displaced. Subcapital transcervical fracture of femoral
neck by muscle pedicle bone graft and internal
fixation. J Bone Joint Surg Am 1933; 55:257-274.
13. Marti RK. Schuller HM, Raymakers ELFB.
Intertrochantric osteotomy for non-union of femoral
neck. J Bone Joint Surg (Br) 1989; 71: 782-787.
14. Doppelt SH, The sliding compression screw: Todays
best answer for stabilization for Intertrichantrchip
fracture. Ind J Orthop 2000; 34: 151-152.
15. Wu et al. Treatment of femoral neck nonunion with a
sliding compression screw: comparison with and
without subtrochantric valgus osteotomy. Injury.
1999; 46: 312-317.
16. Pring D. Biomechanics of hip. In: Barrett D. Essential
basic science for orthopaedics. Oxford: Butterwothr-
Heinemann. 194; 62-93.
17. Calandruccio RA, Anderson WE. Post fracture AVN
of femoral head: Correlation of experience and clinical
studies. Clin Orthop. 1980; 152: 49-84.
18. Stromquist B, Harrison LJ. Femoral head vitality after
femoral neck fractures- Comparison between per and
perioperative tetracycline labeling. Arch Orthop
Trauma Surg. 1983; 101-251.
19. Catto MA transcervical fractures. J Bone Joint Surg
(Br) 1965; 47:749-776.
Published
2015-03-19
How to Cite
SINGH, G P.
Intertrochantrc osteotomy for the treated non union of fractures neck of femur.
J Soc Surg Nep, [S.l.], v. 14, n. 1, mar. 2015.
ISSN 2392-4772.
Available at: <https://www.jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=13>. Date accessed: 21 mar. 2025.
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Original Article
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