Valgus Osteotomy an Effective Option for the Management of Fracture of Neck of Femur in Young and Middle Age Patients: A Prospective Study

The fracture neck of femur in young and middle age patients, is one of challenging and unsolved fracture as management and results are concerned. Prognosis is usually unpredictable owing to usual complications in the form of avascular necrosis and non-union. Neglected fractures further enhance the challenge as the procedures to treat these are technically demanding and have not been given consistently reproducible results.

This study is based upon the management of 27 patients of fracture neck of femur who were treated primarily with valgus intertrochanteric osteotomy and internal fixation with double angled dynamic hip screw at BRD Medical college, Gorakhpur.

Majority of patients were in 31–40 years of age group and sustained fracture as a result of road traffic accident. The union achieved in 26 patients with average time of 4.5 months to unite. Average Harris hip score at final follow up was 90.

valgus osteotomy and internal fixation is an optimal method that removes shearing stress and creates compressive forces at fracture site and enhance the bony healing. However, degenerative arthritis, persistent limping due to decrease in abductor lever arm length remains the limitation of this procedure.