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Reposition osteotomy for fracture neck of femur - A simplified technique of surgery and assessment of results

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Author(s): Nath Rajendra | Rastogi Sanjay | Gupta A | Prasad N

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 40;
Issue: 4;
Start page: 232;
Date: 2006;
Original page

Keywords: fracture neck femur; Repositioning osteotomy; Double angle blade plate.

ABSTRACT
Background : Delayed presentation of femoral neck fracture poses problem of management. Methods: Sixteen patients of fracture neck femur were treated with repositioning osteotomy and osteosynthesis with a 120 o double angle blade plate. Ten patients had Pauwel′s type II and 6 had type III fracture. Results : The average period for fracture healing was 14.87 weeks. No patient developed avascular necrosis. The average duration of follow up was 25 months. A new scoring system has been described. The results were excellent in four; good in nine; satisfactory in two and poor in one case. Conclusion : Reposition osteotomy provides stability and union in femoral neck fractures.
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