Principles of Valgus Intertrochanteric Osteotomy (VITO) after Femoral Neck Nonunion.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 30631603.
- Also identified by DOI 10.1155/2018/5214273 and PMC identifier 6304625.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Nonunion is a relatively rare, yet challenging problem after fracture of the femoral neck. Risk factors include verticality of the fracture line and presence of comminution of the posteromedial calcar, as well as quality of reduction. Treatment options consist of valgus intertrochanteric osteotomy versus arthroplasty. Treatment should be tailored to the individual patient, taking into account patient age and activity demands. This review outlines the principles and technical considerations for valgus osteotomy of the proximal femur in the setting of femoral neck nonunion.
Anatomy
- femur