Abstract
Introduction and Aims: This prospective study was conducted in our institution to evaluate the effect of valgus osteotomy in the treatment of neglected intracapsular fracture of neck of femur in younger patients and the time since injury was three or more than three weeks. There were 20 patients, age ranging from 17 to 50 years.
Method: All the osteotomies were fixed by 120-degree double-angled blade plate.
Results: Eighteen fractures united. The average time for union was 14.4 weeks. Two went in to non-union, in which one of them had intra-articular penetration of the implant. Fourteen patients had noticeable lengthening of the limb. All the patients with united fractures were able to sit cross-legged, squat and do one leg stance.
We conclude by stating that this procedure should be considered in neglected intracapsular fractures of neck of femur in young adults as the head preserving procedure.
Conclusion: Patients with vertical shear fractures represent the spectrum of high-energy pelvic disruption. The functional outcome is significantly better in patients with APC III and LC III fractures when compared to vertical shear and complex acetabular fractures thus reflecting the severity of the injury. Secondary osteoarthritis and neurologic injury appear to contribute to the poor outcome of acetabular fractures. Sound reconstruction of the pelvic ring is not always associated with good results probably due to the extensive pelvic floor trauma.
These abstracts were prepared by Editorial Secretary, George Sikorski. Correspondence should be addressed to Australian Orthopaedic Association, Ground Floor, The William Bland Centre, 229 Macquarie Street, Sydney, NSW 2000, Australia.
None of the authors is receiving any financial benefit or support from any source.
