BACKGROUND: @entity2249 in young adults have always presented a difficult problem with high rates of non-union and @entity2530 . At our centre we have been using the traditional Pauwels intertrochanteric osteotomy for neglected un-united @entity2249 in young adults. We have made certain modifications in this procedure to suit our resources and so we evaluated the outcome of this procedure at our institute. METHODS: The study included fifty consecutive cases of neglected @entity2249 treated at our centre between February 1996 and October 2012. @entity1 in whom internal  fixation had failed were excluded. The average age of the @entity1 was 37 years (range: 17-55 years). Eleven of the @entity1 were female _ Thirty-nine were male. Fifteen @entity1 belonged to Pauwels grade 1, Twenty-six @entity1 belonged to grade 2, and nine belonged to grade 3. The interval between the injury and operation ranged from 1 to 12months (average: 4.3 months). The cases were operated on a normal table using a Watson Jones Approach. The @entity174 ends were freshened and fixed using a 6.5mm screw followed by a @entity14953 which was fixed by a double angle (120 degree) blade plate. RESULTS: A @entity174 union rate of 90% (45 cases) was achieved. Two of the healed cases developed @entity2530 . Results were graded using Askin and Bryan's criteria. Overall, an excellent result was seen in 35 @entity1 , good in 5, fair in 5 and poor in 5. Of the five @entity1 having poor result (3 non-union, 1 implant breakage, 1 implant cut out), two refused revision surgery. In remaining three, one underwent total hip arthroplasty and in two revision osteotomy was performed. CONCLUSION: We believe that intertrochanteric osteotomy provides a good outcome for neglected @entity2249 . Performing the procedure on a routine table, with Watson Jones approach and fixing with double angle blade plate is a good option.

Evaluation of valgus intertrochanteric osteotomy in neglected XXXX neck femur in young adults.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity2249 :: ('MESH:D005265', 'Disease') :: ['femoral neck fractures', 'Femoral neck fractures'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity14953 :: ('MESH:D060906', 'Disease') :: ['valgus osteotomy'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
