NONUNION OF INTERTROCHANTERIC FRACTURES OF THE FEMUR - TREATMENT BY MODIFIED MEDIAL DISPLACEMENT AND VALGUS OSTEOTOMY

Nonunion of intertrochanteric fractures is uncommon but its effects ar e disabling. We describe a modification of the medial displacement and valgus osteotomy of Dimon and Hughston (1967) which we used in seven fractures, six of which united within 16 weeks, Postoperatively, hip f unction was good, The method provides good initial stability, a source of cancellous bone graft, good postoperative hip abductor function an d reliable healing of the nonunion without the need for intraoperative imaging.