TREATMENT OF NON:union: FEMORAL NECK FRACTURE BY VALGUS OSTEOTOMY

Non:::union::: of femoral neck fracture in young patients is still a big problem, specially in developing countries.
Between 1980 and 1998 we performed 27 cases of valgusizing osteotomy to fix non:::union::: of femoral neck fracture on patient of 17 to 74 years old with an average of 45 years. Majority of the patients had displaced fracture of femoral neck and had under gone surgery but most were faced implant failure Almost all of the patients were suffering from pain and limitation of motion so that they were not able to walk without support. Average Neck-shaft angle was 105(80-130) with average shorthening of 2.5cm.
After valgusizing osteotoms 24 of 27 cases healed between 3-10 months (average 5 months) two had implant failure, 5 patient had mild A Vascular Necrosis. at time of stUdy which was not symptomatic. pain and limitation of motion improved remakably so that majority of the patients didnt have to use crutches and shorthening was reduced to an average of 1 cm.
We reached to the conclusion that valgusizing osteotomy of proximal of femur is a good porcedure for non:::union::: offemroal neck fracture in young patients, because it is an easy operation to perform with relatively good result.