Review of closed reduction techniques for femoral neck fracture.
10.12200/j.issn.1003-0034.2023.03.016
- Author:
Xiao-Zhong ZHU
1
;
Yi ZHU
1
;
Jiong MEI
1
Author Information
1. Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China.
- Publication Type:Review
- Keywords:
Closed fracture reduction;
Femoral neck fracture;
Fracture reduction;
Manipulation;
Traction
- MeSH:
Humans;
Femoral Neck Fractures/surgery*;
Femur;
Fracture Fixation, Internal;
Fracture Healing;
Traction;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2023;36(3):273-278
- CountryChina
- Language:Chinese
-
Abstract:
For patients with femoral neck fractures who plan to undergo internal fixation, satisfied alignment of fracture ends is an important prerequisite for internal fixation stability and fracture healing. There are many reports on the reduction methods of displaced femoral neck fractures, which can be summarized into three categories:First, the solely longitudinal traction of lower limbs, supplemented by other manipulations such as rotation and compression; Second, the resultant force formed by the longitudinal traction of lower limbs and the lateral traction;the third is accomplished by vertical traction in the axis of femur with hip joint flexed. Each reduction method has its own advantages, but no single method can be applied to all fracture displacement. In this paper, some classical reduction techniques in the literatures are briefly reviewed. It is hoped that clinicians will not be limited to a certain reduction method, they should analyze the injury mechanism and fracture displacement process according to the morphology features and flexibly select targeted reduction methods to improve the success rate of closed reduction of femoral neck fracture.
