Author(s): Dr. Aruddha Sarkar, Dr. Biswarup Sen and Dr. Saurabh Sahni

Abstract: Intertrochanteric fractures of the hip, in an elderly age group are common due to poor bone stock, where as in younger individuals, they often result from high velocity trauma such as fall from a height and road traffic accidents. Surgical options in the management of these fractures are abundant and the incidence of non-union or mal-union as a complication is low (around 1%). However, in developing countries with a pre-dominantly rural population, patients often present late with inadequately managed trochanteric fractures due to various factors such as-lack of affordability, lack of infra-structure and also traditional belief and availability of native bone setters. In such neglected cases, varus malunion or non-union is the most frequent biomechanical complication following inadequate treatment of unstable trochanteric fractures. The resulting Coxa vara presents with problems such as limb length discrepancy with shortening of affected limb, external rotation deformity with limitation of abduction and internal rotation, limp, and hip and back pain due to mechanical factors. Valgization osteotomy is therefore a decent surgical option that helps in re-establishing the biomechanical axis and the abductor lever arm of the affected limb. It also helps to redirect the force vector and consequently aids in the union of the fracture and the osteotomy itself. In the literature, there are only a few publications dealing with the results of Valgus Osteotomy in the treatment of complications of trochanteric fractures. Here we present a case report of a 65 years old male presented with conservatively managed non-consolidated fracture of the trans-trochanteric region of femur managed by valgization osteotomy.

DOI: 10.22271/27078345.2023.v5.i2b.178

Pages: 64-66 | Views: 178 | Downloads: 70

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