Dear Friends
Kindly advice what can be done
20 yr old male
Pt had a fall 1 yr ago-went to an ortho surgeon tokk x-ray-told hip fracture and advised surgery
Pt did instead ayurvedic massage and now comes 1 yr later with limping and pain
Examination- 3 CM shortening, Limping
R HIP--Trendelenburg _ Positive
no tenderness, hip movements FLEX-100 EXT 0 ABD-20 ADD-40 Ext rot-40 Int rotation=40
All movements terminally painful
R knee- Lachman’s and anterior Drawyer positive
X-ray Non union fracture neck femur with ?viable head and very short neck
Attaching x-rays
Regards
DR CHERIYAN KOVOOR
KOCHI INDIA
I'd like to fix the fracture with a Richard's screw along with a Fibular strut graft. Do a subtroch angulation osteotomy, fixed with barrel-plate (double-angled preferably).Later, reexamine the knee for instability, and treat as necessary.RegardsNikhil Goradia
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20 yr old male
Pt had a fall 1 yr ago-went to an ortho surgeon tokk x-ray-told hip fracture and advised surgery