Transcervical osteotomy with modified Tupman plate for fracture neck femur--a new concept

Fracture neck femur is still regarded as unsolved fracture especially in non-union and in some vertical shear fracture (Powel's 3). Two types of osteotomies Mcmurry and Shanz valgus osteotomy are suggested, both have some disadvantages. In this context, a transcervical osteotomy has been studied. Twenty-three patients have been studied in all. Transcervical osteotomy has been done and fixed with modified Tupman plate. Patients were allowed full weight bearing after 3 months. Maximum follow-up was of 4 years. According to Salvati and Wilson system all patients graded as excellent to good. It is concluded that transcervical osteotomy may be regarded as a viable option for fracture neck femur.