A new method of reduction of fractures of the neck of the femur based on anatomical studies of the hip joint

Abstract

Summary A new method of reduction of fractures of the femoral neck is described, based on anatomical details.In essence the manœuvre consists of external rotation about the long axis of the femoral neck followed by traction in the line of the long axis of the femoral neck, whilst traction is maintained, internal rotation about the long axis of the femoral neck to respiral the fibres of the capsule and the associated ligaments which then support the fragments in the reduced position and in addition render the reduction stable by causing maximal congruity between the femoral head and acetabulum, thus locking the capital fragment. Once reduced, only slight traction is required to steady the limb during internal fixation of the fracture.