Innovative Technique of Non-invasive Closed Reduction for Valgus-Impacted Femoral Neck Fractures.

Abstract

Valgus-impacted femoral neck fractures (FNFs) are considered stable fractures in clinical practice. The main surgery approach is closed reduction and internal fixation, particularly in situ fixation. However, several complications commonly occur in healed valgus-impacted FNFs after in situ fixation, such as femoral neck shortening and anterior femoroacetabular impingement, leading to poor functional outcomes. Various closed reduction techniques for valgus-impacted FNFs have been described; however, these methods often involve invasive procedures that carry the risk of vascular damage and infection. Here we present a straightforward non-invasive reduction technique for valgus-impacted FNFs that is easy to perform and effective. This technique achieves reduction through leverage principles without the need for surgical instruments. This approach effectively provides anatomical reduction and may reduce the frequency of complications associated with valgus-impacted FNFs.