Evaluation of results of intertrochanteric valgus osteotomy in ununited fracture neck femur

The aim of this study was to evaluate the results of valgus osteotomy in patients with neglected or failed internal fixation of intracapsular fracture neck femur.Thirty patients in the age group from 17 years to 55 years were treated with valgus osteotomy and fixation with double angled blade plate. One additional 6.5 mm cannulated cancellous screw was also used.The average duration between injury and surgery was 11.3 weeks. The union at fracture site was achieved in 26 patients at an average period of 22 weeks. The union at osteotomy site was achieved at 8.6 weeks. The osteotomy site united in all cases. The complications of surgical procedure included 2 cases of blade cut through, 2 cases of joint penetration, 4 cases of avascular necrosis and 2 cases of nonunion. There was one case of superficial infection which was controlled by antibiotics. The results were clinically graded using and Harris hip score which was good to excellent in 80% of cases, fair in 7%, and poor in 13% of cases.Valgus intertrochanteric osteotomy for neglected or ununited intracapsular fracture of neck of femur and its fixation with double angled blade plate gives satisfactory results in most cases.