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| Chandrakant Nayak,Biplab Acharyya,Mantu Jain,Kulbhushan Kamboj.[J].Chin J Traumatol,2019,22(1):29-33. 10.1016/j.cjtee.2018.12.003 |
| Valgus osteotomy in delayed presentation of femoral neck fractures using fixed angle simple dynamic hip screw and plate |
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| DOI：10.1016/j.cjtee.2018.12.003 |
| KeyWord: Femoral neck fracturesOsteotomyBone platesBone screws |
| FundProject: |
| Author Name | Affiliation | | Chandrakant Nayak | Department of Orthopedics, Nil Ratan Sircar Medical College & Hospital, Kolkata 700014, India | | Biplab Acharyya | Department of Orthopedics, Nil Ratan Sircar Medical College & Hospital, Kolkata 700014, India | | Mantu Jain | Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar 751019, India | | Kulbhushan Kamboj | Department of Orthopedics, Lady Hardinge Medical College, New Delhi 110001, India |
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| Abstract: |
| 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 inexperienced 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. |
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