Role of valgus osteotomy and fixation by double-angle blade plate in neglected displaced intracapsular fracture of neck of femur in younger patients

Injury ◽  
2005 ◽  
Vol 36 (5) ◽  
pp. 630-634 ◽  
Author(s):  
T. Sringari ◽  
U.K. Jain ◽  
V.D. Sharma
Keyword(s):  
Valgus Osteotomy ◽  
Intracapsular Fracture ◽  
Neck Of Femur ◽  
Younger Patients ◽  
Blade Plate ◽  
Angle Blade ◽  
Angle Blade Plate

scholarly journals Role of Valgus Osteotomy and Fixation with Double Angle Blade Plate in the Management of Neglected and Ununited Femoral Neck Fracture

2021 ◽  
Author(s):  
Hari Om Aggarwal ◽  
Amandeep Singh Bakshi ◽  
Harjit K Singh Chawla ◽  
Ayush Jain ◽  
Jaspreet Singh
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Young Patients ◽  
Valgus Osteotomy ◽  
Non Union ◽  
Neck Shaft Angle ◽  
Blade Plate ◽  
Neck Fracture ◽  
Angle Blade ◽  
Angle Blade Plate

Introduction: Femoral neck fracture non union in young patients is a challenging complication as joint replacement is not readily recommended and hip salvageable procedures are relatively unsatisfactory. Valgus intertrochanteric osteotomy described by Pauwels F is one of the treatment options for management of non union of femoral neck in young patients, which was later reciprocated by other surgeons. Aim: To assess the efficacy of valgus osteotomy and fixation with double angle blade plate in the management of neglected and ununited femoral neck fracture. Materials and Methods: This was a prospective cohort study, which included 30 patients of femoral neck fracture non union in whom intertrochanteric valgus osteotomy was performed and fixed with 120° double angled blade plate. The preoperative and postoperative neck-shaft angle was compared using the paired t-test. A p-value of <0.05 indicated statistically significant result. Results: There were 22 males (73.3%) and 8 females (26.7%). Mean age of patients was 35 years. Delay in presentation ranged from 8 weeks to 58 weeks (mean 24 weeks). By Pauwel’s classification, there were 13 Type II fractures and 17 Type III fractures. Mean follow- up was 18 months (12 to 36 months). The mean preoperative neck- shaft angle of 95° (range 80-110°) increased to 132° (range 120- 140°) after surgery. In all patients, there was improvement in leg length discrepancy after osteotomy. Femoral neck fractures united in 25 patients (83.3%). Conclusion: Valgus osteotomy and fixation with 120° double angle blade plate is a reliable method for treating non union femoral neck fracture in young adults. It provides rigid internal fixation and good results.

Proximal Radius Fracture in a Horse: Angle Blade Plate Repair

1981 ◽  
Vol 10 (2) ◽  
pp. 96-100 ◽  
Author(s):  
HARRY C. FRAUENFELDER ◽  
JOHN F. FESSLER
Keyword(s):  
Radius Fracture ◽  
Blade Plate ◽  
Proximal Radius ◽  
Angle Blade ◽  
Angle Blade Plate

scholarly journals Dynamic condylar screws versus 95º angle blade plate fixation of subtrochantric fractures of femur

2017 ◽  
Vol 5 (5) ◽  
pp. 2040
Author(s):  
Deepak Vashisht ◽  
Sanjeev Sreen ◽  
Manjit S. Daroch ◽  
Karan Alawadhi
Keyword(s):  
Plate Fixation ◽  
Weight Bearing ◽  
Trochanteric Fracture ◽  
Harris Hip Score ◽  
Trochanteric Fractures ◽  
Blade Plate ◽  
Dynamic Condylar Screw ◽  
Angle Blade ◽  
Angle Blade Plate ◽  
Radiological Union

Background: The purpose of this prospective randomized study was to evaluate the results of dynamic condylar screw (DCS) system and 95º angle blade plate fixation in the management of sub-trochanteric femoral fractures, regarding stability, union time, complication rate and functional out come.Methods: Total 30 consecutive patients with sub-trochanteric fracture were studied. The inclusion criteria were closed sub-trochanteric fractures in adults of both gender aged 18 years or above. Pathological fractures and open fractures were excluded from the study. After fixation of fractures with dynamic condylar screw system and 950 angle blade plate patients were followed up in OPD at an interval of 2 weeks till full weight bearing was started and then after at an interval of 4 weeks. Results of treatment were assessed by the Harris hip score for clinical and radiological assessment at the end of 6 months.Results: Among 30 studied cases, males were 22 (73.30%) and female 8 (26.70%). Most common mode of injury was road traffic accidents that occurred in 17 patients (56.70%) and the rest 13 patients had a history of fall. Patients were divided into two random groups (A &B) of 15 cases each. Group A was treated with DCS and Group B was treated with Angle Blade Plate 95º implants. Radiological union in most of the patients (13 out of 15 cases) treated with 95°angle blade plate occurred between 14-18 weeks, while in cases treated with dynamic condylar screw radiological union in most of the patients (14 out of 15) occurred between 12-16 weeks. According to Harris hip score, good to excellent results were achieved in 10 cases (66.66%) of 95°angle blade plate group and 14 cases (93.33%) of dynamic condylar screw group.Conclusions: Patients with sub-trochanteric fractures treated with dynamic condylar screw had earlier radiological union, better functional outcome, less complications and earlier weight bearing.

scholarly journals The role of valgus osteotomy with DHS fixation in the management of fracture nonunion of the neck of femur

2017 ◽  
Vol 4 (1) ◽  
pp. 166
Author(s):  
Yeshwanth Subash
Keyword(s):  
Femoral Head ◽  
Functional Results ◽  
Valgus Osteotomy ◽  
Neck Of Femur ◽  
Non Union ◽  
Neck Shaft Angle ◽  
Fracture Nonunion ◽  
The Mean ◽  
The Right

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Management of fracture non-union of the neck of femur is age specific and is quite demanding. There is a need to salvage the femoral head</span><span lang="EN-IN">in younger individuals which demands a procedure which suits the requirements. The aim of this study was to evaluate the role of valgus osteotomy with dynamic hip screw fixation</span><span lang="EN-IN">(DHS) in the management of these fractures and to compare the results with studies of other authors as available in literature</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This was a prospective study of 15 patients with fracture nonunion of the femoral neck conducted between January 2012 to January 2013 with a follow up period of 3 years</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 9 males and 6 female patients in our study with the right side being more commonly affected. The mean age of the patients was 45.2 years ranging from 36 to 58 years. All fractures united at the end of 6 months. Post operatively the mean Pauwels angle was 34<sup>0</sup> while the neck shaft angle was 135.2<sup>0</sup>. There was a significant increase in the Oxford score from a mean of 20.4 preoperatively to 37.9 in the postoperative period. All patients were happy with the procedure and the functional outcome. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Valgus osteotomy with DHS fixation is a good option for the management of fracture nonunion of the neck of femur in younger patients where there is a need to salvage the femoral head and it gives good functional results.</span></p>

scholarly journals Osteosynthesis of femoral-neck nonunion with angle blade plate and autogenous fibular graft

2011 ◽  
Vol 36 (4) ◽  
pp. 827-832 ◽  
Author(s):  
Ramesh Kumar Sen ◽  
Sujit Kumar Tripathy ◽  
Tarun Goyal ◽  
Sameer Aggarwal ◽  
Naveen Tahasildar ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Fibular Graft ◽  
Blade Plate ◽  
Angle Blade ◽  
Angle Blade Plate
Sign in / Sign up

Export Citation Format

Share Document