title: PROXIMAL FEMURAL VALGUS SUBTROCHANTERIC OSTEOTOMY FOR NON UNION OF TROCHANTERIC FRACTURES.
abstract: OBJECTIVE
  To evaluate valgus subtrochanteric osteotomy for the treatment of trochanteric non-union.
  
  
  METHODS
  A retrospective study of cases series. From 1998 September to 2009 January, seventeen (17) cases with a diagnosis of non-union of trochanteric fracture were re-operated by the hip group of the Ortophaedic And Traumatology service of the Hospital Geral de Goiania (HGG). The patients presented pain at the fracture site, a femoral varus angle of less than 120°, and non-union of the fracture in the 3(rd) months after the initial surgery.
  
  
  RESULTS
  Patients with ages ranging from 30 to 73 years, with a maximum follow-up of 09 years and minimum of 09 years. The mean time from first surgery to osteotomy was six months. Bone union was observed in 16 patients, with a mean union time of 12 weeks after surgery. The mean hip varus angle was 105(0) (120(0) to 90(0)). After surgery, the mean hip valgus angle was 144(0) (155(0) to 135(0)). We had one unsuccessful case; a 78-year old patient who had osteogtomy, fixed with DHS of 150(0), with valgization to 154(0). After six months of follow-up without union of the fracture, it was decided to perform total cemented hip artroplasthy, without complications.
  
  
  CONCLUSIONS
  Valgus subtrochanteric osteotomies can be indicated for the treatment of trochanteric treatment of pseudoarthroses, with good final results for bone union, avoiding the need for total hip artroplasthy and maintaining biological fixation, as well as reestablishing the mechanical and anatomical axis of the affected limb.
authors.affiliation: Head of the Hip Surgery Service of the Hospital Geral de Goiânia - GO, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Silva
authors.affiliation: Orthopedic Intern Doctor of the Hip Surgery Service of the Hospital Geral de Goiânia - GO, Brazil.
authors.forename: Danilo Lopes
authors.initials: DL
authors.lastname: Coelho
authors.affiliation: Orthopedic Intern Doctor of the Hip Surgery Service of the Hospital Geral de Goiânia - GO, Brazil.
authors.forename: Calim
authors.initials: C
authors.lastname: Curi
authors.affiliation: Orthopedic Intern Doctor of the Hip Surgery Service of the Hospital Geral de Goiânia - GO, Brazil.
authors.forename: Leandro Alves
authors.initials: LA
authors.lastname: de Oliveira
authors.affiliation: Assistant Professor of the Department of Orthopedics, Medical Faculty, Universidade Federal de Goiás- GO, Brazil.
authors.forename: Frederico Barra
authors.initials: FB
authors.lastname: de Moraes
authors.affiliation: Orthopedist of the Hip Surgery Service of the Hospital Geral de Goiânia - GO, Brazil.
authors.forename: Rogério Andrade
authors.initials: RA
authors.lastname: do Amaral
authors.affiliation: Orthopedist of the Hip Surgery Service of the Hospital Geral de Goiânia - GO, Brazil.
authors.forename: Percival Rosa
authors.initials: PR
authors.lastname: Rebello
keywords: Femoral Fractures; Hip Fractures; Pseudarthrosis