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Is McMurray's osteotomy obsolete?

P M Phaltankar1, K Bhavnani, S Kale

  • 1Department of Orthopaedics, KEM Hospital, Parel, Mumbai.

Journal of Postgraduate Medicine
|October 1, 1995
PubMed
Summary
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McMurray

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.

Related Experiment Videos

  • 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.