21Jan 2020

VALGUS INTERTROCHANTERIC OSTEOTOMY FOR NON - UNION OF FEMORAL NECK USING THE DYNAMIC HIP SCREW

  • Orthopaedic Trauma University Service, Hospital of Marrakech.
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The Non-union is a frequent complication of the femoral neck fracture. Its genesis implicates several factors in particular the age, the characteristics of the fracture, the state of the femoral head and the type of the treatment (absence ortherapeutic imperfection). Several techniques of femoral valgus osteotomy were described for the treatment of these non-union, our technique using the ?dynamic hip screw? is an original therapeutic method which gives good performances. Our study concerns 09 cases of femoral neck non-union treated by valgus osteotomy at the university hospitalMohammed VI of Marrakech from January 2013 to August 2016.The averageage of our patients was 46 years. The valgus angle of the osteotomy was between 25? and 40?with an average of 29?. All our patients were healed with satisfying functional results. Indeed the type of fracture and his initial treatment also the type and the characteristic of the non-union doesn?t influence the consolidation. Femoral head necrosis is a frightening complication which evolves on its own account and may occur at anytime. It is a significant factor for functional degradation and no cases have been noticed in our series. The quality of the results which we got, encourages us to suggest this treatment in all femoral neck non-union cases among the young patients, if the head is supposed alive.

  1. Zehi A, Bouguira F, Saadaoui M.H, Meherzi S, Karray M, Zouari T, Litaiem M,Douik.Ost?otomie de valgisation dans les pseudarthroses du col du f?mur ? propos de 41 cas. Revue Chir Ortho.2001;87(6):562-568.
  2. Hartford JM, Patel A, Powell J.Intertrochantericosteotomyusing a dynamic hip screw for femoral neck nonunion.J Orthop Trauma. 2005; 19 (5):329-33.
  3. Andrew J,Schoenfeld, MD* and Gregory A,VrabecMD, FRCS.Valgus Osteotomy of the Proximal FemurwithSliding Hip Screw for the Treatment offemoral Neck Nonunions. The Technique. A case seriesand LiteratureReview.J Orthop Trauma. August 2006; 20(7):485-491.
  4. Pauwels F. Biomechanics of the normal anddiseased hip.Berlin Springer-Verlag.1976;129-271.
  5. Hui AC, Anderson GH, Choundry R.Internal fixation or hemiarthroplasty for undisplaced fractures of the femoral neck inoctogenarians. J Bone Joint Surg Br. 1994;76:891?894.
  6. Lu-Yao GL, Keller RB, Littenberg B, et al. Outcomesafter displaced fractures of the femoral neck.
  7. A metaanalysisof one hundred and six published reports. JBone Joint Surg Am. 1994;76:15-25.
  8. MartiRk, Hans M, Schuller, Ernst LFB, Raaymakers.Intertrochanteric osteotomy for non-union of the femoralneck.JBone Joint SurgBr. 1989;71(B)?:782-87.
  9. Swiontkowski MF. Intracapsular fractures of the hip.Current Concept Review.J Bone joint Surg
  10. 1994;76(A)?:129-38.
  11. Ballmer FT, Ballmer PM, Baumgaertel F, et al.Pauwels osteotomy for non-unions of the femoral neck.Orthop clin North Am. 1990;21:759-67.
  12. Asnis SE, Gould ES, Bansal M, Rizzo PF, Bullough PG.Megnetic resonance imaging of the hip after displaced femoral neck fractures. ClinOrthop.1994;298:191-98.
  13. Byung-Woo Min, Ki-CheolBae, Chul-HyungKang,Kwang-Soon Song.Valgus intertrochanteric osteotomyfor non-union of femoral neck fracture 2006;37:786-90.
  14. Gerundini M, Avai A, Taglioretti J. Total hipreplacement after intertrochanteric osteotomy.
  15. Int Orthop.1995;19(2):84-5.
  16. Pidhorz L, Lahbabi S, Deburge A. Lespseudarthroses du col du f?mur. Traitement parost?otomieintertrochant?rienne.RevChirOrthop.1974;60:205-21.
  17. Deburge A, Lahbabi S. R?sultats des ost?otomiesintertrochant?riennes dans le traitement des pseudarthroses du col du f?mur.RevchirOrthop.1972;58:281-84.
  18. Wu CC, Shih CH, Chen WJ, et al. Treatment offemoral neck non-union with a sliding compression screw.Comparison with and withoutsubtrochantericvalgusosteotomy. J Trauma.1999; 46:312-17.
  19. Min BW1,?Bae KC,?Kang CH,?Song KS,?Kim SY,?Won YY.Valgus intertrochanteric osteotomy for non-union of femoral neck fracture2006 Aug;37(8):786-90.

[Issam Ait Hadj Sliman, Amine Abdelaoui, Mohamed Amine Benhima, Imad Abkari, Youssef Najeb and Halim Saidi (2020); VALGUS INTERTROCHANTERIC OSTEOTOMY FOR NON - UNION OF FEMORAL NECK USING THE DYNAMIC HIP SCREW Int. J. of Adv. Res. 8 (Jan). 1176-1179] (ISSN 2320-5407). www.journalijar.com

Amine Abdelaoui
Dr

DOI:

Article DOI: 10.21474/IJAR01/10420      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10420

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