Surgical treatment of iatrogenic femoral neck fracture during closed reduction for posterior fracture dislocation of the hip: A technical note

Closed Reduction Technique for Acetabular Fractures with Femoral Head Protrusion and Concomitant Superolateral Impaction

“…Reduction of these unique fractures may be challenging because the intact acetabulum can act as a hinge point on which the femoral head can rotate, creating a tension-sided iatrogenic femoral neck fracture or causing chondral injury if excessive force or axial traction alone are used before disengaging the superolateral femoral head from the intact ilium. 4…”

“…Reduction of these unique fractures may be challenging because the intact acetabulum can act as a hinge point on which the femoral head can rotate, creating a tension-sided iatrogenic femoral neck fracture or causing chondral injury if excessive force or axial traction alone are used before disengaging the superolateral femoral head from the intact ilium. 4 The authors describe a reduction technique for this unique fracture pattern. Key maneuvers include (1) an initial medialization force to disengage the femoral head, (2) an axial force to clear the intact ilium, (3) an immediate lateralizing force to bring the femoral head underneath the intact acetabular roof, (4) confirmation of femoral head stability, and (5) placement of skeletal traction.…”