Is McMurray's osteotomy obsolete?

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Nonunion of transcervical femur neck fractures presents a significant clinical challenge.
• McMurray's displacement osteotomy is a less commonly used alternative to angulation osteotomy for this condition.

Purpose of the Study:

• To review the technique, benefits, and drawbacks of McMurray's displacement osteotomy.
• To evaluate its efficacy in treating nonunion of transcervical femur neck fractures with a viable femoral head.

Main Methods:

• A retrospective review of ten cases treated with McMurray's displacement osteotomy.
• Analysis of surgical technique, patient outcomes, and comparison with angulation osteotomy.

Main Results:

• The study demonstrated good results in the ten cases reviewed.
• McMurray's osteotomy showed specific advantages, including the 'Armchair effect', over angulation osteotomy in selected patients.

Conclusions:

• McMurray's displacement osteotomy remains a useful procedure for selected cases of nonunion transcervical femur neck fracture.
• Its unique benefits warrant consideration despite the trend towards angulation osteotomy.