Transcervical osteotomy with modified Tupman plate for fracture neck femur--a new concept.
Fracture neck femur is still regarded as unsolved fracture especially in non-union and in some vertical shear fracture (Powel's 3). Two types of osteotomies Mcmurry and Shanz valgus osteotomy are suggested, both have some disadvantages. In this context, a transcervical osteotomy has been studied. Twenty-three patients have been studied in all. Transcervical osteotomy has been done and fixed with modified Tupman plate. Patients were allowed full weight bearing after 3 months. Maximum follow-up was of 4 years. According to Salvati and Wilson system all patients graded as excellent to good. It is concluded that transcervical osteotomy may be regarded as a viable option for fracture neck femur.
Department of Orthopaedics, Midnapore Medical College and Hospital, Midnapore 721101.
Abdul
A
Latif
Kuladip
K
Mukhopadhyay
Arunangsu
A
Bhattacharyya
Sandip Kumar
SK
Roy
Sanjay
S
Kumar
D000328:Adult; D001860:Bone Plates / Q000639:trends*; D004867:Equipment Design; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005272:Femur Neck / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control*; D011859:Radiography; D020127:Recovery of Function; D016896:Treatment Outcome