Abstract
Anatomic reduction of femoral neck fractures is difficult to obtain in a closed fashion. Open reduction provides for direct and controlled manipulation of fracture fragments. This can be accomplished via multiple approaches. The anterolateral, or Watson-Jones, approach or Smith-Petersen, or direct anterior, approach are the two most frequently used. Percutaneous techniques have also been described, though they lack the visual confirmation of reduction of a traditional open approach. These can be performed using a fracture table or with a free leg on a radiolucent table in either supine or lateral positions. Knowledge of the hip and pelvis anatomy is crucial for the preservation of critical femoral neck vasculature. Intra-operative fluoroscopy together with direct visualization provides the framework for successful manipulation of the fracture fragments, temporary stabilization, and ultimately fracture fixation.
Original language | English (US) |
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Pages (from-to) | 441-444 |
Number of pages | 4 |
Journal | Injury |
Volume | 46 |
Issue number | 3 |
DOIs | |
State | Published - Mar 1 2015 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2014 Elsevier Ltd.
Keywords
- Approach
- Femoral neck fracture
- Open reduction
- Smith-Petersen
- Watson-Jones