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Year : 2003  |  Volume : 37  |  Issue : 2  |  Page : 6

Valgus intertrochanteric osteotomy in intracapsular fracture neck of Femur

Department of Orthopaedics, PGIMS, Rohtak, India

Correspondence Address:
N K Magu
22/8 FM Medical enclave, PGIMS, Rohtak124001- Haryana
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Source of Support: None, Conflict of Interest: None

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Fifty patients of intracapsular femoral neck fractures, 40 with recent injuries [group-A]; and 10 with established nonunion [group-B]; were treated with valgus intertrochanteric osteotomy and osteosynthesis through a modified Watson Jones approach. Patients were followed for an average of 9.2 years. Radiological signs of avascular necrosis in 7.5% and union in 95% of patients [group-A] were observed in an average period of 12.4 weeks (11- 16 weeks). Union was achieved with a viable femoral head in 100% of patients [group-B], in an average of 16.1 weeks (14-40 weeks). Sound union with a viable femoral head was also achieved in a patient sustaining pathological fracture due to a simple bone cyst with no sign of recurrence till 12 years follow up. Forty one patients (82%) were graded as good to excellent result (Harris hip score 94), five patients (10%) with a score of 75 as fair; and four (8%) with a score of 30 were graded as poor results. The potential benefit to the patient retaining a viable biologic joint justifies the use of this procedure.

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