![]() The right limb was involved in 11 and the left in 7 patients. The age range was 30–70 years (mean: 46.9 years) five patients were 60 years or above and the rest were below 60 years. Sixteen patients were male and two were female. We carried out a retrospective analysis of 18 patients with primary intertrochanteric nonunion treated in our institution during 1993–2007. 1 This study aims to evaluate the results of internal fixation, valgization with 135° dynamic hip screw (DHS), and bone grafting in 18 patients with primary nonunion of intertrochanteric fractures. 8 – 11 In the elderly, hip arthroplasty is the preferred treatment for intertrochanteric nonunion wtih damaged articular surface, or inadequate bone stock, but in the physiologically young with good bone quality preservation of the femoral head is preferred. Revision internal fixation and bone grafting has been reported in fixation failures in very few series and results have generally been encouraging. 7 Literature is sparse regarding primary intertrochanteric nonunions and its treatment. 4 – 8 Nonunion results in pain and functional disability. 2, 3 Occasionally, nonunion or early failure of fracture fixation occurs, the reasons being delayed treatment, unfavorable fracture patterns, poor bone quality, or suboptimal internal fixation. 1 Most intertrochanteric fractures treated by conservative methods or internal fixation heal. ![]() ![]() Nonunion of intertrochanteric fractures is uncommon because there is excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. ![]()
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