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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Cases. Mar 16, 2026; 14(8): 117602
Published online Mar 16, 2026. doi: 10.12998/wjcc.v14.i8.117602
Sliding valgus osteotomy for bilateral neglected femoral neck fractures in young patient with renal osteodystrophy: A case report
Mohamed Abdelhady Abdelzaher, Ahmed M Sayed, Ahmed A Khalifa, Mohamed Ibrahim Tawfik
Mohamed Abdelhady Abdelzaher, Department of Orthopedic, Faculty of Medicine, New Valley University, New Valley 72711, Egypt
Ahmed M Sayed, Department of Orthopedics and Trauma Surgery, Assiut University, Asyut 71515, Egypt
Ahmed A Khalifa, Department of Orthopedic, Qena Faculty of Medicine and University Hospital, South Valley University, Qena 83523, Qina, Egypt
Ahmed A Khalifa, Department of Orthopedic, Aster Sanad Hospital, Riyadh 14236, Saudi Arabia
Mohamed Ibrahim Tawfik, Department of Orthopedic, Assiut University Hospital, Asyut 71515, Egypt
Author contributions: Abdelzaher MA, Sayed AM, and Khalifa AA performed the literature search, drafted the manuscript, and designed the figures; Abdelzaher MA and Tawfik MI conceived and designed the case report and performed the surgeries; Sayed AM carried out data acquisition and patient assessment; Khalifa AA and Tawfik MI contributed to critical revision of the manuscript; All authors discussed the results, commented on the manuscript, and read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Ahmed A Khalifa, MD, Assistant Professor, FRCS, Department of Orthopedic, Qena Faculty of Medicine and University Hospital, South Valley University, Kilo 6 Qena-Safaga Highway, Qena 83523, Qina, Egypt. ahmed_adel0391@med.svu.edu.eg
Received: December 11, 2025
Revised: January 26, 2026
Accepted: February 4, 2026
Published online: March 16, 2026
Processing time: 95 Days and 19.6 Hours
Core Tip

Core Tip: Neglected femoral neck fracture in the pediatric population is challenging to treat; moreover, it is more challenging in neglected cases. In the current report we presented a case of bilateral neglected femoral neck fracture in a pediatric patient suffering from end-stage renal disease. The management aim was to achieve fracture union in an acceptable anatomical position and overcome the obstacle of poor bone quality. These goals were achieved by performing staged bilateral sliding subtrochanteric valgus osteotomies. By the last follow-up at 18 months, fracture union was achieved with acceptable functional outcomes. Performing a sliding subtrochanteric valgus osteotomy was appropriate for correcting the fracture biomechanics and achieving early stability and fracture union.