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Case Reports
. 2021 Dec 8:37:100569.
doi: 10.1016/j.tcr.2021.100569. eCollection 2022 Feb.

Failed medial buttress plating of a femoral neck fracture salvaged with a Pauwels osteotomy: Case report and review of literature

Niels Hendrik Bech  1 , Peter Kloen  1
Affiliations
Case Reports

Failed medial buttress plating of a femoral neck fracture salvaged with a Pauwels osteotomy: Case report and review of literature

Niels Hendrik Bech et al. Trauma Case Rep. .

Abstract

Two young patients with a Pauwels type 3 femoral neck fracture were treated with cannulated screws and the addition of an anteromedial buttress plate on the femoral neck. Both developed a non-union necessitating a salvage procedure. A Pauwels' osteotomy led to uneventful and complete healing in both patients. The purpose of this report is to describe the current literature on anteromedial buttress plating in femoral neck fractures and discusses a reproducible hip preserving salvage option when a non-union develops.

Keywords: Femoral neck fractures; Fracture healing; Osteotomy.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
A: AO type 31B2.3 fracture of the left hip; B + C: X-ray and CT scan 2 months after surgery without signs of fracture healing; D: Perioperative imaging of the Pauwels osteotomy; E + F: Complete healing and union, 17 months after Pauwels osteotomy.
Fig. 2
Fig. 2
A: AO type 31B2.1 fracture of the right hip; B + C: Perioperative imaging of the anteromedial plate; D: CT scan that shows development of non-union 7 months after surgery; E + F: Complete healing 22 months after Pauwels osteotomy.
See this image and copyright information in PMC

References

    1. Singer B.R., McLauchlan G.J., Robinson C.M., Christie J. Epidemiology of fractures in 15 000 adults: the influence of age and gender. J. Bone Joint Surg. B. 1998 doi: 10.1302/0301-620x.80b2.7762. - DOI - PubMed
    1. Shen M., Wang C., Chen H., Rui Y.Feng, Zhao S. An update on the Pauwels classification. J. Orthop. Surg. Res. 2016 doi: 10.1186/s13018-016-0498-3. - DOI - PMC - PubMed
    1. Liporace F., Gaines R., Collinge C., Haidukewych G.J. Results of internal fixation of pauwels type-3 vertical femoral neck fractures. J. Bone Joint Surg. 2008 doi: 10.2106/JBJS.G.01353. - DOI - PubMed
    1. Kloen P., Rubel I.F., Lyden J.P., Helfet D.L. Subtrochanteric fracture after cannulated screw fixation of femoral neck fractures: a report of four cases. J. Orthop. Trauma. 2003 doi: 10.1097/00005131-200303000-00013. - DOI - PubMed
    1. Mir H., Collinge C. Application of a medial buttress plate may prevent many treatment failures seen after fixation of vertical femoral neck fractures in young adults. Med. Hypotheses. 2015 doi: 10.1016/j.mehy.2015.01.029. - DOI - PubMed

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