Reduction versus vascularity: an operative dilemma posed by a difficult reduction of a femoral neck fracture.
Achieving an acceptable reduction following a femoral neck fracture is often a difficult task. When reduction cannot be achieved by conventional methods, the orthopedic surgeon often accepts lessthan-adequate reduction or opts for prosthetic replacement. Reported is a case of a femoral neck fracture that was openly reduced by transection of the ligamentum teres and reduction of the free femoral head, followed by a Judet muscle-pedicle-bone graft. The importance of adequate fracture reduction and providing vascular supply to the femoral head, as they relate to the complication of avascular necrosis and nonunion, are discussed.
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Hofmann
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Wyatt