Treatment of nonunion of neck fracture of the femur in young patients with valgus osteotomy

BackgroundNonunion of the femoral neck fractures usually can be diagnosed within 1 year of fracture, although a fairly accurate prediction of healing can be made only after 6 months or less. Valgus osteotomy increases the healing power of femoral neck fractures by translation of the shearing force to compression force.Patients and methodsThis study included 20 patients with ununited femoral neck fractures, with their ages ranging from 22 to 50 years. All patients had fractures with high-angle fractures (Pauwel’s III). They were 16 males and four females. They were treated through valgus osteotomy and internal fixation with dynamic hip screw with angle of 150°.ResultsOverall, 18 fractures were healed and all osteotomies were healed. Two patients with ununited fractures could not walk.ConclusionValgus osteotomy with internal fixation with dynamic hip screw is a very useful solution for treatment of ununited femoral neck fractures in young adults with excellent results.