Valgus osteotomy in delayed presentation of femoral neck fractures using fixed angle simple dynamic hip screw and plate

作     者：Chandrakant Nayak Biplab Acharyya Mantu Jain Kulbhushan Kamboj Nayak Chandrakant;Acharyya Biplab;Jain Mantu;Kamboj Kulbhushan

作者机构：Department of Orthopedics Nil Ratan Sircar Medical College & Hospital Kolkata 700014 India Department of Orthopedics All India Institute of Medical Sciences Bhubaneswar 751019 India Department of Orthopedics Lady Hardinge Medical College New Delhi 110001 India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2019年第22卷第1期

页      面：29-33页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 10[医学] 

主　　题：Femoral neck fractures Osteotomy Bone plates Bone screws 

摘      要：Purpose: Reduction and fixation in femoral neck fracture in young patients have a problem of nonunion, requiring additional procedures like valgus osteotomy;but fixation devices are technically difficult for in experienced surgeons. We aims to assess the results of valgus osteotomy in femoral neck fracture in our setup. Methods: We reported a series of 20 patients of higher Pauwel s angled fracture of femoral neck fracture presenting late wherein valgus osteotomy was added to reduction fixation which was secured with a commonly available 135 dynamic hip screw and plate. Results: Femoral neck fractures united in 16 patients (80%). Excellent to good results (Harris hip score 80) were seen in 70% patients. Angle of correction of preoperative Pauwels has been changed from 68.3 to 34.3. Conclusion: The 135 dynamic hip screw and plate provides rigid internal fixation after valgus osteotomy and being a more familiar fixation device simplifies the procedure with good results.