End result study of McMurray osteotomy for acute fractures of the femoral neck

Hudson, Otho C.; Bartels, William P.; Freese, Carl F.

doi:10.1016/0002-9610(51)90215-2

Cited by 5 publications

(1 citation statement)

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“…This approach has been successfully used for femoral neck nonunions [19][20][21][22][23][24][25][26][27][28][29] and has been applied to selected acute femoral neck fractures that may be at risk for delayed union or nonunion, including vertically oriented fracture patterns. Early or immediate proximal femoral osteotomy for the treatment of femoral neck fractures was described by American authors in the late 1940s and early 1950s [30][31][32] . Since that time, a variety of internal fixation methods during valgus osteotomy have been used, including the compression hip screw 33 , broad compression plate 34 , nail plate [35][36][37] , blade plate [38][39][40] , or even hip spica casting 41 .…”

Section: Discussionmentioning

confidence: 99%

Gunshot Fracture of the Femoral Neck: Internal Fixation and Immediate Proximal Femoral Valgus Osteotomy

Georgiadis

Andrews

Redfern

2021

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Case: We report on a 22-year-old patient with a comminuted femoral neck fracture because of a low-velocity gunshot wound. Treatment consisted of reduction and internal fixation with a fixed angled blade plate and immediate valgus osteotomy. He went on to uneventful healing and an excellent clinical result. Conclusions: A comminuted gunshot femoral neck fracture in a young patient is a rare and potentially devastating injury. If stable, and there are no other associated emergent injuries, reduction, internal fixation, and immediate valgus osteotomy should be considered.

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Section: Discussionmentioning

confidence: 99%

Gunshot Fracture of the Femoral Neck: Internal Fixation and Immediate Proximal Femoral Valgus Osteotomy

Georgiadis

Andrews

Redfern

2021

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Prognose und therapeutische Konsequenzen bei medialen Schenkelhalsfrakturen

Leitz

1966

Arch orthop Unfall-Chir

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Valgus intertrochanteric osteotomy for femur neck pseudoarthrosis: a simple solution to a complex problem that has stood the test of time

Gavaskar¹,

Jeyakumar²,

Raj³

2019

International Orthopaedics (SICOT)

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Femoral neck nonunion in young patients has always been a difficult problem to deal with for surgeons. Numerous surgical procedures to address either the biological or mechanical issues at the nonunion have been described and most of them have been associated with variable results. Isolated biological augmentation is often associated with poor results and some techniques like vascularized grafting may require not so commonly available expertise. Valgus osteotomy is aimed to correct the abnormal fracture biomechanics associated with femoral neck fractures. By altering the nature of force transmission across the nonunion, shear forces are converted into compressive forces that lead to rapid osseous union without the need for bone grafting. Though the principles are sound and were described a long time ago, the technical aspects have evolved over time. Various modifications have been described to overcome shortcomings such as limb length discrepancy, reduction of femoral offset, alteration in mechanical axis, and the overall proximal femur anatomy. In this review, we look back at the fundamental principles and recent literature on the results of valgus intertrochanteric osteotomy for femoral neck pseudoarthrosis. We also highlight the important need for accurate preoperative planning and surgical execution. Lastly, we elaborate on the technical improvisations that have happened over time in order to improve functional results and to minimize complications and poor outcome after a valgus osteotomy.

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End result study of McMurray osteotomy for acute fractures of the femoral neck

Cited by 5 publications

References 0 publications

Gunshot Fracture of the Femoral Neck: Internal Fixation and Immediate Proximal Femoral Valgus Osteotomy

Gunshot Fracture of the Femoral Neck: Internal Fixation and Immediate Proximal Femoral Valgus Osteotomy

Prognose und therapeutische Konsequenzen bei medialen Schenkelhalsfrakturen

Valgus intertrochanteric osteotomy for femur neck pseudoarthrosis: a simple solution to a complex problem that has stood the test of time

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