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https://hdl.handle.net/2440/86693
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dc.contributor.author | Varghese, V. | - |
dc.contributor.author | Ramasamy, B. | - |
dc.contributor.author | Titus, V. | - |
dc.contributor.author | Oommen, A. | - |
dc.contributor.author | Jepegnanam, T. | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | Journal of Orthopaedic Trauma, 2014; 28(7):410-416 | - |
dc.identifier.issn | 0890-5339 | - |
dc.identifier.issn | 1531-2291 | - |
dc.identifier.uri | http://hdl.handle.net/2440/86693 | - |
dc.description.abstract | Objectives: To evaluate preoperative neck resorption and postoperative valgus orientation as predictors of union and functional outcome after valgus intertrochanteric osteotomy for treatment of neglected femoral neck fractures and nonunions. Design: Retrospective cohort study. Setting: Tertiary care center. Patients/Participants: Forty consecutive patients with neglected femoral neck fracture and nonunions were treated with valgus intertrochanteric osteotomy, and follow-up was available in 32 patients (average age, 43 years; range, 14–60 years; average nonunion duration, 6 6 7 months; range, 1–36 months). Intervention: Valgus intertrochanteric osteotomy. Main Outcome Measurements: Clinical outcome was assessed with Harris hip score. Plain radiographs were evaluated for union, avascular necrosis, preoperative bone deficiency (neck resorption ratio), and postoperative femoral head fragment alignment (head-shaft angle). Results: Follow-up at 5 6 3 years (range, 2–12 years) after surgery showed union in 29 patients (91%), and Harris hip score was 82 6 13 points (range, 63–100 points). The 3 patients with persistent nonunion at the neck of femur had neck resorption ratio ,0.52. Increased postoperative head-shaft angle was associated with lower follow-up Harris hip score; postoperative valgus alignment .15 degrees compared with the contralateral side was associated with poor functional outcome. The presence of avascular necrosis did not affect the outcome. Conclusions: Valgus intertrochanteric osteotomy resulted in union and satisfactory functional outcome in most patients who had neglected femoral neck fractures and nonunions. Preoperative neck resorption ratio ,0.5 was a risk factor for nonunion, and excessive valgus alignment was a risk factor for poor functional outcome after osteotomy. | - |
dc.description.statementofresponsibility | Viju D. Varghese, Palapattu R. Boopalan, Vijay T.K. Titus, Anil T. Oommen, and Thilak S. Jepegnanam | - |
dc.language.iso | en | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.rights | © 2013 Lippincott Williams & Wilkins | - |
dc.source.uri | http://dx.doi.org/10.1097/bot.0000000000000030 | - |
dc.subject | Hip; valgus osteotomy; nonunion femoral neck; functional outcome | - |
dc.title | Indices affecting outcome of neglected femoral neck fractures after valgus intertrochanteric osteotomy | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1097/BOT.0000000000000030 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Ramasamy, B. [0000-0003-2708-8420] | - |
Appears in Collections: | Aurora harvest 2 Orthopaedics and Trauma publications |
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