A prospective controlled trial of valgus osteotomy in the fixation of unstable pertrochanteric fractures of the femur.
A total of 62 patients with unstable pertrochanteric fractures of the neck of the femur was subjected to either nail plating with 130 degrees neck-shaft angle or valgus osteotomy using a neck-shaft angle of at least 140 degrees. The patients were assessed in terms of ability to walk and stability of fracture fixation. A clear superiority of valgus osteotomy over the controls was demonstrated in terms of fracture fixation, but the difference in terms of ability to walk was less remarkable.
D000328:Adult; D000368:Aged; D001860:Bone Plates; D002986:Clinical Trials as Topic; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010027:Osteotomy; D011446:Prospective Studies