Date: Wed, 18 Feb 2004 19:36:32 +0500
From: Alexander Chelnokov
Subject: Femoral Neck Nonunion - Blade plate cut out
A male 56 years old was operated in Aug 2003 - valgus osteotomy performed because of delayed admission with neck fracture (2 months) images 1,2. Smoker, no other major medical problem.
Now he re-admitted with the images 3,4.
What would you do in the situation?
THX in advance.
Ural Scientific Institute of Traumatology and Orthopaedics
str.Bankovsky, 7. Ekaterinburg 620014 Russia
Date: Thu, 19 Feb 2004 01:17:26 EST
I suggest hip arthroplasty at this time with a combined "osteotomy/arthroplasty" technique where the cementless femoral stem stabilizes the subtrochanteric osteotomy (or in this case, repeat osteotomy).
References: J of Arthroplasty "Osteotomy Arthroplasty 2 yr followup" circa 1989 DeCoster Incavo Frymoyer and Iowa Orthop Journal "Osteotomy Arthroplasty 10 yr followup" circa 1998 same authors.