Management of femoral neck fracture non union with modified Pauwels' osteotomy

N K Magu; Om Lahoti

doi:10.1016/j.jcot.2021.101721

Management of femoral neck fracture non union with modified Pauwels' osteotomy

J Clin Orthop Trauma. 2021 Dec 3:25:101721. doi: 10.1016/j.jcot.2021.101721. eCollection 2022 Feb.

Authors

N K Magu¹, Om Lahoti²

Affiliations

¹ Max Smart Super-Speciality Hospital, Saket, New Delhi, India.
² King's College Hospital, Denmark Hill, London, United Kingdom.

Abstract

Modified Pauwels' intertrochanteric osteotomy is a promising procedure to heal a non union of the femoral neck fracture, with a success rate of 80-90%. Caxa vara correction and limb length equalization can be achieved simultaneously with this procedure. Two stage surgical procedure has the advantage of keeping blood loss and bone exposure to minimise the risk of infection. We herewith present some tips and tricks and the details of doing this osteotomy.