Subtrochanteric valgus osteotomy for the treatment of ununited fracture neck of femur

ABSTRACT

16 cases [10 females and 6 males] of ununited fracture neck of femur were treated by repositioning osteotomy on the principles postulated by Pauwel. Three of the cases followed congenital coxa vara. The majority of patients did not receive specific treatment before surgery. Only 6 patients were treated surgically with technical error ended in non-union. Fixation of the osteotomy was by a moulded DCP in 11 cases and repositioning plate in 5 cases, 3 of which were constructed from a one third tubular plate. The overall excellent results were achieved in 88% of cases after a mean time of union of 3 months