Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement.
FAI
Femoral neck fracture
Femoroacetabular impingement
Secondary cam-type femoroacetabular impingement
Surgical hip dislocation
Valgus intertrochanteric osteotomy
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
accepted:
13
08
2023
medline:
4
9
2023
pubmed:
4
9
2023
entrez:
4
9
2023
Statut:
epublish
Résumé
Valgus intertrochanteric osteotomy is a well-established treatment in delayed union of femoral neck fractures as it converts shear forces into compression forces. Non-union of the femoral neck fracture may persist following valgus intertrochanteric osteotomy, and secondary femoroacetabular impingement (FAI) may be a contributing factor. We report one case of persistent femoral neck non-union after treatment by valgus intertrochanteric osteotomy with concomitant secondary cam-type impingement from fracture callus as a possible cause for ongoing insufficient healing. Healing was achieved following surgical hip dislocation with corrective osteochondroplasty of the femoral head-neck junction. Two-year follow-up shows good clinical and radiological outcomes. In ongoing non-healing of femoral neck fractures following valgus intertrochanteric osteotomy, secondary cam impingement from fracture callus must be excluded.
Identifiants
pubmed: 37663374
doi: 10.1016/j.tcr.2023.100911
pii: S2352-6440(23)00158-9
pmc: PMC10474228
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100911Informations de copyright
© 2023 The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Références
Bone Joint J. 2015 Jul;97-B(7):988-91
pubmed: 26130357
Acta Ortop Bras. 2015 Nov-Dec;23(6):319-22
pubmed: 27057146
Int Orthop. 2020 Apr;44(4):635-643
pubmed: 31197451
J Bone Joint Surg Br. 1991 May;73(3):423-9
pubmed: 1670443
J Hip Preserv Surg. 2021 Apr 08;7(4):688-695
pubmed: 34377511
J Orthop Trauma. 2018 Jan;32 Suppl 1:S1-S170
pubmed: 29256945
J Trauma. 1990 Jul;30(7):848-56
pubmed: 2381002
Arch Orthop Trauma Surg. 1989;108(2):116-8
pubmed: 2647054
Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):793-800
pubmed: 24488220
BMC Musculoskelet Disord. 2020 Aug 3;21(1):517
pubmed: 32746824
Pediatr Radiol. 2018 Mar;48(3):350-358
pubmed: 29181581
J Orthop Trauma. 2001 Sep-Oct;15(7):475-81
pubmed: 11602829
J Bone Joint Surg Am. 1987 Oct;69(8):1169-76
pubmed: 3667647
Unfallchirurg. 2005 Apr;108(4):263-73
pubmed: 15785946
J Am Acad Orthop Surg. 1996 May;4(3):143-151
pubmed: 10795049
J Orthop Trauma. 2004 Aug;18(7):425-30
pubmed: 15289688
Indian J Orthop. 2008 Jan;42(1):13-21
pubmed: 19823649
Clin Orthop Relat Res. 2021 May 1;479(5):1002-1013
pubmed: 33787519
Adv Orthop. 2018 Dec 2;2018:5214273
pubmed: 30631603
Orthop J Sports Med. 2022 Jun 9;10(6):23259671221098750
pubmed: 35706555
Acta Orthop. 2006 Jun;77(3):359-67
pubmed: 16819672