Long term results with Management of Neglected Fracture Neck Femur with Repositioning Osteotomy

Mohit Dhingra; Vandana Kumar Dhingra; Bhupesh Singh

Volume : V, Issue : VII, July - 2016

Long term results with Management of Neglected Fracture Neck Femur with Repositioning Osteotomy

Mohit Dhingra, Vandana Kumar Dhingra, Bhupesh Singh

Abstract :

Hip fractures are common and pose a major health concern in every society. They are more common in elderly age group mainly due to osteoporosis. However in young adults they occur in bone with normal density and hence they comprise a separate group from prognosis and management perspectives. Non–union is a common complication of these fractures and leads to severe morbidity. Of the various surgical modalities available for management of intertrochanteric fractures we study the complications, improvement in the functional status and long term results of repositioning osteotomy with internal fixation in patients of young age group of less than 50 years. We studied a total of 67 patients with an average follow–up of 34+/– 15.37 months and they showed more than 90% favourable results in the form of ability to perform routine activities. Though technically demanding our method of repositioning osteotomy and internal fixation with double angle blade/barrel plate is an effective head conserving procedure in young adults with favourable results and minimal complications.