Date: Wed, 18 Feb 2004 19:36:32 +0500

From: Alexander Chelnokov

Subject: Femoral Neck Nonunion - Blade plate cut out

Hello All,

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.

Image 1
Image 2
Image 3
Image 4

Now he re-admitted with the images 3,4.

What would you do in the situation?

THX in advance.

Best regards,

Alexander N. Chelnokov
Ural Scientific Institute of Traumatology and Orthopaedics
str.Bankovsky, 7. Ekaterinburg 620014 Russia

Reply at: Orthopaedic Trauma Association forum

Date: Thu, 19 Feb 2004 01:17:26 EST

From: Tadabq


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.