Modified Pauwels' intertrochanteric osteotomy in neglected femoral neck fracture.

Unlabelled: Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels' intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems.

Functional outcome of modified Pauwels' intertrochanteric osteotomy and total hip arthroplasty in femoral neck fractures in elderly patients.

Background: A high union rate (75%-100%) with a lower incidence of avascular necrosis (8%-9.3%) has been reported with intertrochanteric osteotomy in femoral neck fractures in elderly whereas arthroplasty eliminates the incidence of nonunion and avascular necrosis We present a series of femoral neck fracture in elderly treated with modified Pauwels' intertrochanteric osteotomy and total hip arthroplasty for their functional outcome.

Materials And Methods: 29 elderly patients of 60 years and above sustaining fresh subcapital femoral neck fracture underwent total hip arthroplasty (group I, n=14) and modified Pauwels' intertrochanteric osteotomy (group II, n=15).