Sub troch nonunion for THR post shanz osteotomy

One year post subtrochanteric osteotomy and thr post shanz ostrotomy for DDH. Patient is 35 years old

jacob

The instability at the osteotomy site was posibly due to lack of stable fixation of the distal fragment,which was augmented by the plate. I feel this was insufficient and hence the non union.- ideally the stem should have been upsized. This was revised to a distal loading solution stem using an eto to remove the well ingrown Srom sleeve