Valgus osteotomy for nonunion and neglected neck of femur fractures

Figure 1 Diagram showing stages of valgus osteotomy. A: Closed reduction; B: Insertion of blade plate device; C: Excision of lateral wedge; D: Final correction after plate fixation.

Figure 2 Problems with neglected fractures. A: Anteroposterior radiograph of pelvis of a 41-year-old male with a 3-mo-old nonunion neck of femur fracture and associated malunited femur fracture; B: At 4-year follow-up showing union, when the Harris hip score was 88.

Figure 3 Problems with excess valgus. A: Anteroposterior radiograph of pelvis of a 33-year-old male with a 3-mo-old nonunion neck of femur fracture; B: At 10-year follow-up, showing excess valgus, when the Harris hip score was 68.

Figure 4 Ideal valgus correction. A: Anteroposterior radiograph of pelvis of a 45-year-old male with a 1-mo-old nonunion neck of femur fracture; B: At 5-year follow-up showing similar valgus orientation as the opposite hip, when the Harris hip score was 85.