Valgus osteotomy for nonunion and neglected neck of femur fractures

Table 1 Case series of valgus osteotomy for nonunion

Ref.	n	Average follow-up (yr)	Union rate, n/total (%)	AVN, n/total (%)	Implant	Functional outcome
Marti et al[10]	50	7.1	43/50 (86)	22/50 (44)	DABP	HHS: 91
Anglen et al[15]	13	2	13/13 (100)	2/13 (15)	DABP	HHS: 93
Wu et al[33]	32		32/32 (100)	2/32 (6)	SHS +/- (subtrochanteric osteotomy)	NA
Kalra et al[23] (neglected fractures)	22	2.5	20/22 (85)	2/22 (9)	DABP	75%; excellent to good results
Sringari et al[34]	20	2	18/20 (90)	Nil	DABP	NA
Magu et al[11]	48	6	44/48 (94)	2/48 (4)	DABP	HHS: 86.7
Khan et al[35]	16	2.5	14/16 (87)	Nil	SHS (120 degree plate)	HHS: 88
Said et al[29]	36	3.5	35/36 (97)	5/36 (13)	Angled blade plate (prebent 130 degree)	NA
Sen et al[26]	22	3.2	21/22 (91)	5/55 (22)	DABP + non-vasc fibula	66%; excellent to good results
Gadegone et al[7]	41	2.75	39/41 (95)	7/41 (17)	SHS (110-130 prebent plate + non-vasc fibula)	HHS: 90.9
Gavaskar et al[28]	11	1	11/11 (100)	Nil	SHS + subtrochanteric osteotomy, no wedge taken	Oxford score: 40
Gupta et al[36]	60	3.5	56/60 (93)	4/60 (6)	SHS (135 degree subtrochanteric osteotomy)	HHS: 87.5
Varghese et al[14]	32	5	29/32 (91)	13/32 (44)	DABP	HHS: 82

DABP: Double-angled blade plate; HHS: Harris hip score; NA: Not available; SHS: Sliding hip screw.