Is Bigger Really Better? New Study Challenges How Much Valgus Correction Is Enough for Femoral Neck Nonunion

Surgeons have relied on Pauwels' principles and personal experience when planning valgus osteotomies. Larger corrections certainly convert more shear into compression — but they also risk limb-length discrepancy, altered gait mechanics, implant stress, and potentially compromised femoral head blood supply.