Valgus Osteotomy of Femur with Debridement of Non:union: Site for Treatment of Non:union: of Femoral Neck

طSiavashi, MD, Babak Siavashi, MD; Abdoli Tafti, MD, Abbas; Golbakhsh, MD, Mohammadreza; Sadat, MD, Mir Mostafa; Zehtab, MD, Mohammad Javad; Gouran Savadkoohi, MD, Dariush

doi:10.22034/ijos.2020.121116

Valgus Osteotomy of Femur with Debridement of Non:union: Site for Treatment of Non:union: of Femoral Neck

Authors

Babak Siavashi, MD طSiavashi, MD

Abbas Abdoli Tafti, MD

Mohammadreza Golbakhsh, MD

Mir Mostafa Sadat, MD

Mohammad Javad Zehtab, MD

Dariush Gouran Savadkoohi, MD

https://doi.org/10.22034/ijos.2020.121116

Abstract

Background: Femoral neck non:::union::: could be a disaster in young and middle age patients. Conventional valgus osteotomy of femur is done without freshening of non:::union::: site. We would like to report our experience with valgus osteotomy of hip after freshening of the non:::union::: site.Methods: In a case-series study, from all young and middle-aged patients with non:::union::: femoral neck fracture who were treated with freshninig of non:::union::: site and valgus ostetomy, 22 patients (18 males, 4 females) with mean age of 34 (20-47) entered the study. There were 10 broken implants in the heads with a one year follow-up. The cases were evaluated for :::union:::, necrosis and also changes in Harris hip scores.Results: Preoperative Harris hip score was 63 and postoperative score increased to 89. The neck shaft angle was reached about 150 degrees. In 2 cases necrosis developed and in 3 cases collapse of neck occurred with intrusion of implant into the joint and the implants were removed immediately. Mean time to :::union::: was 4.5 months.Conclusion: Freshening of non:::union::: site before valgus osteotomy in non:::union::: femoral fracture produces high :::union::: rate with low complications.

Keywords

Fractures, malunited

Femoral Neck Fractures

Osteotomy