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01-11-2020 | Original Paper

Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy)

Authors: Mohamed Hegazy, Naguib Basha, Hassan Elbarbary, Ebaa Mohamed Abdellatif Ali, Ahmed Hosny Khalifa, Mohamed Tageldeen Mohamed, Nader M. Diab, Abou Bakr Zein, Ahmed Hazem Abdelazeem, Khaled Fawaz, Abdulla Mohamed Ahmed, Ahmed Samir Barakat

Published in: International Orthopaedics | Issue 11/2020

Abstract

Purpose

The ideal treatment of non-united and neglected fracture neck femur in the young adult still remains unclear and is characterized by many biological and biomechanical challenges.

Methods

Twenty-one patients with non-united or neglected fracture neck femur aged between 19 and 50 years were treated by a novel subtrochanteric valgus osteotomy and were followed up for a mean of 26.7 months. Patients were assessed by radiological parameters, the Harris Hip Score, Oxford Knee Score, and Askin Bryan Criteria to categorize the overall outcome of the patients at 24 months. Other outcome measures included the occurrence of AVN, adductor lever arm, leg length discrepancy, and mechanical implant failure.

Results

All patients treated with the SALVA osteotomy consolidated and displayed a marked improvement of functional and radiological outcome measures. Nevertheless, there were 2 mechanical failures in patients with marked osteopenia and three developed AVN.

Conclusions

In patients with un-united/neglected fracture neck femur, SALVA osteotomy appears to be reliable and reproducible. It also restores the abductor lever arm and improves the leg length discrepancy. Technically less demanding conversion to arthroplasty remains still possible prospectively.

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Title: Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy)
Authors: Mohamed Hegazy
Naguib Basha
Hassan Elbarbary
Ebaa Mohamed Abdellatif Ali
Ahmed Hosny Khalifa
Mohamed Tageldeen Mohamed
Nader M. Diab
Abou Bakr Zein
Ahmed Hazem Abdelazeem
Khaled Fawaz
Abdulla Mohamed Ahmed
Ahmed Samir Barakat
Publication date: 01-11-2020
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 11/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04527-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy)

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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