Osteotomy in Fracture Neck Femur-Still a Useful Option

Management of fracture neck femur in younger patients despite various treatments still remains a dilemma due to complications like non-union and avascular necrosis. Osteotomy has been used as a management option for primary as well as non union of fracture neck femur for long time with preservation of femoral head.

Osteotomy, though head preserving, long lasting, cost beneficial and simpler procedure, has inherent possibilities of compromised functional recovery. In current context availability of the hemi-arthroplasty, total hip replacement and other methods and their results has made the surgeon to extend its indication in relatively younger patients. These factors also have led to decrease awareness and use of the osteotomy procedures in practice. The current article discusses the problems after osteotomy, difficulties in future conversion to total hip replacement and the overall usefulness of the osteotomy procedures in the current scenario considering financial status and work demands of the patients.