Technique for gentle accurate reproducible closed reduction of intracapsular fracture of neck of femur

Mahajan, Ravindra H.; Kumar, Sachin; Mishra, Bhanu

doi:10.1016/j.injury.2016.10.030

Cited by 12 publications

(13 citation statements)

References 10 publications

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“…Our designed technique may be similar to Mahajan et al [14] and Noda et al [15] . Combined with femoral head and acetabular, a greater proximal fracture was formed to match distal fracture.…”

Section: Discussionmentioning

confidence: 99%

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

Zhu¹,

Yan

et al. 2020

Preprint

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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.

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Section: Discussionmentioning

confidence: 99%

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

Zhu¹,

Yan

et al. 2020

Preprint

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“…The treatment of femoral neck fracture in young patients faces many challenges, and if clinicians fail to provide improper treatment, it may lead to catastrophic consequences for patients [2][3][4][5][12][13][14]. The proportion of patients with femoral neck fractures under 65 years who underwent total hip arthroplasty increased from 1.4-13.1% from 1999 to 2011 [14].…”

Section: Discussionmentioning

confidence: 99%

Gotfried reduction and cannulated screws fixation in the treatment of femoral neck fracture in young adults

Huang

Fang

et al. 2020

Preprint

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Background: Although many available surgical procedures for displaced femoral neck fractures in young patients, there are still many challenges to achieve satisfactory results. The incidence of avascular necrosis and nonunion rates remain relatively high despite the progress in our understanding and surgical technique. The purpose of this study was to evaluate the clinical efficacy of gotfried reduction and cannulated screw fixation in the treatment of femoral neck fracture for young adults.Methods: A retrospective analysis was made on 67 cases from May 2013 to March 2019. They were divided into three groups according to the first postoperative anteroposterior view of hip X-ray: Anatomic reduction (group A), Gotfried positive buttress reduction (group B), and Gotfried negative buttress reduction (group C). The incidence of avascular osteonecrosis of the femoral head (AVN) and the Harris scores of hip joints were compared in three groups at the last follow-up.Results: There were 21 cases (mean age,49.7 ± 11.6) in group A, 24 cases (mean age, 48.6 ± 11.3) in group B, 22 cases (mean age,48.3 ± 12.4) in group C. No significant difference in general preoperative demographics (P>0．05).The incidence of avascular necrosis of femoral head in Group A, B, and C was 19.05%,20.83%, and 22.73 %, respectively, showing no significant difference between groups(P=0．156). The mean Harris hip scores at the final follow-up for groups A (85．6±6．7)and B (84．5±6．2) were significantly higher than group C (74．3±8.3), and the difference was statistically significant(P=0．043).Conclusions: Gotfried positive buttress reduction and fixation for femoral neck fracture may lead to similar clinical results with anatomic reduction, but much better than Gotfried negative buttress reduction. For the patients of femoral neck fracture with severe displacement and difficulty in reduction, it is not necessary to pursue anatomical reduction。Achieving positive valgus reduction can also obtain satisfactory clinical results, and should try to avoid negative buttress.

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“…Lorich et al 10 suggested a percutaneous technique where two wires are positioned superior to the greater trochanter into the fracture line before attempting cranial reduction via a “joystick motion”. Mahajan et al 11 introduced method to transfix the femoral head into the pelvic tear drop, which contributes to reduction of a displaced varus deformity, although not specifically for a valgus impaction. Our proposed technique may be similar to Mahajan et al, 11 although their anatomical reduction may be difficult to obtain with the above-mentioned technique as tissue structures such as the iliotibial band, the gluteus medius, the gluteus minimus and tight fascia may hamper the manipulation.…”

Section: Discussionmentioning

confidence: 99%

“…Mahajan et al 11 introduced method to transfix the femoral head into the pelvic tear drop, which contributes to reduction of a displaced varus deformity, although not specifically for a valgus impaction. Our proposed technique may be similar to Mahajan et al, 11 although their anatomical reduction may be difficult to obtain with the above-mentioned technique as tissue structures such as the iliotibial band, the gluteus medius, the gluteus minimus and tight fascia may hamper the manipulation. In addition, the method may involve some risk to intra-pelvic vital structures to obtain definite purchase of the guide pin.…”

Section: Discussionmentioning

confidence: 99%

Innovative technique of minimally invasive closed reduction for impacted femoral neck fractures (MICRIF)

Noda¹,

Takahashi

Nukuto

et al. 2019

J Orthop Surg (Hong Kong)

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The moment arm of gluteus medius proportionated to distance from femoral head tends to be decreased postoperatively in valgus-impacted femoral neck fractures treated by in situ internal fixation. The aim of this article is to introduce a new gentle technique to correct the deformity. The innovative technique of Minimally Invasive Closed Reduction for Impacted Femoral neck fractures (MICRIF) mainly focused to disimpact valgus neck fractures into anatomical position. Patients were positioned on the fracture table to fix the hip joint in abduction and internal rotation. A 2.4-mm diameter Kirschner wire was inserted a few centimetres outside the iliac crest piercing the acetabular beak to enter the femoral head, followed by repositioning of the lower extremity from abduction into neutral. This method provides satisfactory anatomical reduction. Thereafter, a surgical implant was applied to osteosynthesize the reduced fracture. This simple technique effectively provides anatomical reduction in valgus impacted femoral neck fracture.

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Technique for gentle accurate reproducible closed reduction of intracapsular fracture of neck of femur

Cited by 12 publications

References 10 publications

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

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

Gotfried reduction and cannulated screws fixation in the treatment of femoral neck fracture in young adults

Innovative technique of minimally invasive closed reduction for impacted femoral neck fractures (MICRIF)

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