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Valgus Osteotomy for Delayed Presentation of Femoral Neck Fractures Pauwels Grade III
Faculty
Medicine
Year:
2010
Type of Publication:
Article
Pages:
115-119
Authors:
Eid, Abdelsalam
Journal:
JOURNAL OF ORTHOPAEDIC TRAUMA LIPPINCOTT WILLIAMS \& WILKINS
Volume:
24
Research Area:
Orthopedics; Sport Sciences
ISSN
ISI:000274072700008
Keywords :
fractures, femoral neck, intertrochanteric osteotomy, delayed, dynamic hip screw
Abstract:
Fracture displacement, a high Pauwels angle, and delayed presentation decrease the potential for healing of femoral neck fractures. In the young individual, head preservation is paramount. Valgus intertrochanteric osteotomy may increase the healing potential of femoral neck fractures in the presence of those detrimental factors. Ten patients younger than 60 years of age with delayed presentation of displaced Pauwels III femoral neck fractures were treated by osteosynthesis and valgus intertrochanteric osteotomy fixed by dynamic hip screws. All osteotomics and nine fractures united with one case developing avascular necrosis.
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