Primary management of fracture of femoral neck in young adults using Valgus Osteotomy and fixation with Dynamic hip screw and plate: A case series

Abstract

Materials and Methods: Ten patients of recent (<3 weeks old) displaced intracapsular fracture neck femur (Garden III and IV, Pauwels III, with or without comminution) in the age group 20-40 years (mean 27.5 ) were subjected to osteosynthesis and primary valgus intertrochanteric osteotomy using dynamic hip screw with side plate and a derotation screw. The patients were followed up from three to five years (mean 4.6 years). AVN) Results: Union at the fracture site was achieved in ten out of ten (100 %) patients within 12 months of surgery. One case, which had undergone previous surgery with multiple screw fixation, developed avascular necrosis(10%). Repeat surgery rate was 10% (for patient with