Presentation
Hip pain after osteosynthesis of a neglected femoral neck fracture multiple years after initial injury.
Patient Data
Age: 40 years
Gender: Female
From the case:
Femoral neck non-union
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Femoral screws in place. Atrophic non-union of the femoral neck.
From the case:
Femoral neck non-union
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CT confirms non-union. No signs of avascular necrosis of the femoral head.
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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.