Femoral neck non-union

Case contributed by Philippe-Alexandre Faure
Diagnosis certain

Presentation

Hip pain after osteosynthesis of a neglected femoral neck fracture multiple years after initial injury.

Patient Data

Age: 40 years
Gender: Female
x-ray

Femoral screws in place. Atrophic non-union of the femoral neck.

ct

CT confirms non-union. No signs of avascular necrosis of the femoral head.

2 mth post-valgus int...

x-ray

2 mth post-valgus intertrochanteric osteotomy

Consolidation of non-union.

Case Discussion

An interesting presentation of femoral neck fracture.

Sub-trochanteric osteotomy is an elegant solution to transform the orientation of the fracture, using weight bearing to create compression forces instead of shearing.

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