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

被引：7

作者：

Hegazy, Mohamed ^{[1
]}

Basha, Naguib ^{[1
]}

Elbarbary, Hassan ^{[1
]}

Ali, Ebaa Mohamed Abdellatif ^{[2
]}

Khalifa, Ahmed Hosny ^{[3
]}

Mohamed, Mohamed Tageldeen ^{[1
]}

Diab, Nader M. ^{[1
]}

Zein, Abou Bakr ^{[1
]}

Abdelazeem, Ahmed Hazem ^{[1
]}

Fawaz, Khaled ^{[1
]}

Ahmed, Abdulla Mohamed ^{[1
]}

Barakat, Ahmed Samir ^{[1
]}

机构：

[1] Cairo Univ, Orthoped & Trauma Dept, Cairo, Egypt

[2] Helal Hosp, Cairo, Egypt

[3] Med Hsch, Klin Unfallchirurg, Hannover, Germany

来源：

INTERNATIONAL ORTHOPAEDICS | 2020年 / 44卷 / 11期

关键词：

Fracture neck femur; Non-union of neck femur fracture; Neglected neck femur fracture; Avascular necrosis (AVN) of head femur; Minimal clinically important difference (MCID) and minimal clinical important improvement (MCII) of the Harris Hip Score; DYNAMIC HIP SCREW; INTERNAL-FIXATION; INTERTROCHANTERIC OSTEOTOMY; ARTHROPLASTY;

D O I：

10.1007/s00264-020-04527-8

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：2421 / 2430

页数：10

共 31 条

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