Reverse fracture displacement direction closed reduction technique (RCRT) for the treatment of valgus impacted femoral neck fracture

Abstract

Background Impacting locked in fracture site of valgus impacted femoral neck fracture may be the difficulty to achieve anatomical reduction. The aim of this article is to introduce a novel technique to successful complete anatomical reduction. Methods After identify the fracture classification and displace direction. Two 2.0 mm diameter kirschners wire were inserted crossing the femoral head and fixed into acetabular bone. under the continuous image guiding and monitoring, reversing fracture displacement direction with internal rotation and abduction of the hip to complete the closed reduction. results anatomical reduction was achieved in X-ray and CT data postoperative. conclusions This technique provides anatomical reduction, simple procedure, and few interference of internal environment of hip and fracture site in valgus impacted femoral neck fracture.