Surgical Techniques for the Management of Proximal Femoral Fracture Nonunions

Nonunion is a relatively common complication of proximal femoral fracture resulting from poor mechanical alignment of the fracture, failure of internal fixation, poor biologic factors, or infection. In this article, we discuss surgical procedures for the salvage of both femoral neck fracture and intertrochanteric hip fracture nonunion. These procedures include proximal femoral valgus osteotomy for femoral neck fracture nonunion, revision open reduction with internal fixation for intertrochanteric hip fracture nonunion, and hip arthroplasty. Preoperative planning, surgical technique, common complications, and results from the literature for these procedures are discussed.