friend
dhs will not correct improper biomechanical environment and may further compromise vascular
integrity consider establish vascular status via mri
and if viable follow with proximal valgus osteotomy
case provided s/p failed fixation
I think that this 31 yo deserves a try with valgus osteotomy, as so nicely illustrated by stephen kottmeier. However, I'd do it no matter what an MRI shows - thus why bother with the MRI? (What sort of data support MRI's ability to predict segmental collapse?)
