Basics of Valgus Intertrochanteric Osteotomy for Hip Fractures: Simplified

Valgus Osteotomy is the best salvage option for proximal femur fractures nonunion, especially neck femur and trochanteric fractures. The current video sums up the basic technical part to make the understanding better and in a simplified manner.
Hope it's helpful.
Thanks!!
Credits: Dr. Javed Jameel ‪@javedjameel3503‬ for follow-up cases and demonstration pictures.

[@dranilbhattarai6469]

Valgus osteotomy is joint preserving procedure for obtaining union in femoral neck nonunion fractures. Union rates are high. Low risk of AVN. Technically demanding. Larger angle devices (120,130 degrees ) preferable for high Pauwell angles. Well planned osteotomy and implant placement=Well execution of the technique=desired results. Avoid double angle devices to prevent malalignment.

[@dr.himanshuverma1781]

Perfect presentation

[@Justorthothings]

Thanks for your feedback!

[@hakiselaj9672]

Best video in youtube for VITO , congratulations

[@Anatomy.doctor]

Welldone.... Can you please share the review or reference of paper for this video..?

[@Justorthothings]

Thanks! The basic angle calculation is what Pauwel had described as 25 degrees to achieve optimal compression as a nonunion site. The paper (Principles of Valgus Intertrochanteric Osteotomy (VITO) after Femoral Neck Nonunion): www.hindawi.com/journals/aorth/2018/5214273/ provides a good review of that. The implant positioning angle is not specifically described in a paper and is just to make understanding easier.

[@Anatomy.doctor]

@@Justorthothings that's great... Thanks for the update... I keep on following you for more video updates regarding femoral neck fractures surgical guidance...