Operated and Non Operated (Neglected) Fracture Neck of Femur Treated With Intertochanteric Osteotimy

Abstract

Back Ground:  The non union of femoral fracture is a vital problem in young patients. The salvage procedures and ortho-clastic are unsatisfactory in theses patients. Methods to achieve osteosynthesis are more biological.

Methods:  We included a series of 14 patients from June 2001 to June 2005 in Mayo Hospital, Lahore. Patients were pre-viously treated by quacks and in some patients failure of previous fixation was seen.

Results:  A total number of 14 cases of fracture neck of femur were studied. In which 10 cases were previously treated by quack and 4 cases presented with failure of fixation. In this study there were 14 patients (eight males and 6 females). The average age of patients was 30 years (14-50 years). Average duration of fracture was 7 months (2 months - 4 years) with Pauwel angel of 32.8.

Conclusion:  Three cancellous screw fixations with molded and angled narrow DCP plate valgus osteotomy, autogenous bone grafting round the fracture gives good outcome in neglected fracture neck of femur if done properly.