Chandrakant Nayak,Biplab Acharyya,Mantu Jain,Kulbhushan Kamboj.[J].中华创伤杂志英文版,2019,22(1):29-33
Valgus osteotomy in delayed presentation of femoral neck fractures using fixed angle simple dynamic hip screw and plate
  
DOI:10.1016/j.cjtee.2018.12.003
KeyWord: Femoral neck fracturesOsteotomyBone platesBone screws
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Author NameAffiliation
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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