Journal of Research in Orthopedic Science
1
J. Res. Orthop. Sci.
Medical Sciences
http://jros.iums.ac.ir
1
admin
2676-7031
2676-7031
8
7
14
8888
13
en
jalali
1400
2
1
gregorian
2021
5
1
8
2
online
1
fulltext
en
Valgus Osteotomy Outcome for Treating Femoral Neck Non:union: in Young and Active Patients
جراحی هیپ
Hip surgery
پژوهشی
Research Article
<strong>Background</strong>: Femoral neck fracture nonunion is a frequent and challenging complication, with several surgical options. <br>
<strong>Objectives</strong>: The present study reported the outcome of valgus osteotomy for treating femoral neck nonunion in patients aged <65 years.<br>
<strong>Methods</strong>: This case series research included young patients who underwent valgus osteotomy for treating femoral neck nonunion or device failure of the index surgery. The fixation of the osteotomy site was performed using either a dynamic hip screw or a fixed angle blade. The union of the neck and osteotomy site (subtrochanteric region) was evaluated by monitoring callus formation in the postoperative radiographs. Limb length discrepancy, Pauwels’ angle, and the neck-shaft angle were evaluated before the surgery and at the last follow-up. Postoperative complications were extracted from the explored patients’ profiles. <br>
<strong>Results</strong>: Twenty patients with a Mean±SD age of 27.2±10.8 years were examined in this study‎. The Mean±SD follow-up time of the patients was 6.1±3.9 years. The femoral neck was united in 18 patients in a Mean±SD period of 5.1±2.3 months. The Mean±SD limb length discrepancy was measured as 1.3±0.8 cm before and 0.5±0.7 cm after the ‏osteotomy. The Mean±SD Pauwels’ angle was calculated as 65.5±16.9º before and 32.4±16.2º after the osteotomy. The Mean±SD neck-shaft angle was computed to be 121.9±22.8º before and 144.5±17.7º after the osteotomy. Revision surgery was performed for 6 (30%) patients. This measure included device removal in 4 and total hip arthroplasty in 2 patient.<br>
<strong>Conclusion</strong>: Valgus osteotomy is a safe and efficient technique for managing femoral neck nonunion. Therefore‎, this approach is suggested as a good alternative for total hip arthroplasty, particularly in young and active patients‎.
Femoral neck fracture, Non:union:, Genu valgum, Valgus osteotomy
65
70
http://jros.iums.ac.ir/browse.php?a_code=A-10-400-1&slc_lang=en&sid=1
Kaveh
Gharanizadeh
kaveh.gharani@gmail.com
10031947532846004986
10031947532846004986
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Hamed
Tayyebi
hamedtayebi65@gmail.com
10031947532846004987
10031947532846004987
Yes
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abbas
Esmaeli
10031947532846004991
10031947532846004991
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Maziar
Rajei
mr.rajei@gmail.com
10031947532846004988
10031947532846004988
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mohamadreza
Heidarikhoo
mohamadreza.msc@gmail.com
10031947532846004989
10031947532846004989
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mehdi
Siahpoosh
mehdi_cobi@yahoo.com
10031947532846004990
10031947532846004990
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.