Outcome of valgus osteotomy in recent fracture of neck of femur with powels angle more than 50 degree: A prospective study

Kumuda Bandhu Sahoo; Suraj Kumar Jain; Laba Kumar Nath

doi:10.53730/ijhs.v6nS3.8227

Authors

Kumuda Bandhu Sahoo Assistant Professor, Department of Orthopaedics, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India
Suraj Kumar Jain Assistant Professor, Department of Orthopaedics, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India
Laba Kumar Nath Assistant Professor, Department of Orthopaedics, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India

Keywords:

valgus intertrochanteric, repositioning osteotomy, femoral neck fracture

Abstract

Background: Vertical femur neck fractures are prone to nonunion due to shear forces. This mechanical component that causes nonunion is corrected with intertrochanteric valgus osteotomy. Osteotomy has historically been reserved for fractures that have been neglected for more than three weeks or for nonunion following screw fixation failure. In the primary therapy of a fracture neck of the femur, valgus repositioning osteotomy is not a conventional method. In this study, we assess this management strategy as an alternate treatment for specific conditions. Patients and Methods: This study comprised 12 adult patients with recent vertical femoral neck fractures. The age ranged from 20 to 48 years old. Ten guys and two ladies were present. There were seven mid-cervical fractures and five subcapital fractures. Vertical fractures were treated with valgus osteotomy (angle more than 50 degrees). Due to renal insufficiency, three individuals developed osteoporotic fractures. The intertrochanteric osteotomy was performed to transform shear pressures into compression forces with the goal of reducing the fracture angle to 25 degrees. The average follow-up time was 45 months. Results: The average postoperative angle was 28 degrees.

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