{Reference Type}: Case Reports {Title}: Malunited Right and Ununited Left Fracture Neck Femur in Autism with Seizures Treated with Valgus Osteotomy: A Case Report. {Author}: Oommen AT;Timothy J;S G;Vv R; {Journal}: JBJS Case Connect {Volume}: 14 {Issue}: 1 {Year}: 2024 Jan 1 暂无{DOI}: 10.2106/JBJS.CC.23.00532 {Abstract}: METHODS: An 18-year-old autistic boy with seizure disorder had a 4-month-old hip injury with a similar right hip injury 6 months earlier. X-rays revealed an ununited fracture neck femur on the left and a malunited fracture neck femur on the right hip. Magnetic resonance imaging indicated preserved head vascularity. Valgus osteotomy and double-angle plate fixation of both hips were performed at an interval of 2 months.
CONCLUSIONS: Delayed presentation bilateral neck fractures are rare. X-rays showed healed fractures with no avascular necrosis in both hips at 2-year 6-month follow-up. Valgus osteotomy is ideal and relevant for osteosynthesis in selected ununited femur neck fractures.