Orthopedics > OCOSH Classification > Orthopaedic Procedures > Fracture Reduction > Femoral Neck Fractures - Techniques of Closed Reduction Wheeless

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Femoral Neck Fractures - Techniques of Closed Reduction Wheeless

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Location: http://www.wheelessonline.com/ortho/femoral_neck_frx_techniques_of_closed_reduction

Description: Always attempt closed reduction before open reduction;
- evaluation of the lateral x-ray after reduction to evaluate posterior comminution of the femoral neck is critical;
- posterior comminution leads to the loss of a butressing effect posteriorly, w/ subsequent loss of reduction and non-union;
- majority of patients with non union, have posterior comminution;
- inferior comminution is also important;
- as noted by Weinrobe et al (Jan 1998), major relative risk of redisplacement of femoral neck fractures correlates with initial inferior fracture offset and varus angulation;
- the take home message is that a non anatomic reduction will often lead to postoperative displacement;
- similar findings were published by Chua et al 1998, who noted that varus angulation was the biggest predictor of early fixation failure

Type: Reference Material
Author/Contact: C.R.Wheeless
Institution: Duke
Primary Subject/Category:

Language: English

Submitted by: admin
Hits: 920
Added: Thu Jul 01 2010