• John C Kurylo, David Templeman, and Gudrun E Mirick.
• Hennepin County Medical Center, Department of Orthopaedic Surgery, 701 Park Ave, G2.140, Minneapolis, MN 55415, United States. Electronic address: john.kurylo@gmail.com.
• Injury. 2015 Mar 1;46(3):441-4.

AbstractAnatomic 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.Copyright © 2014 Elsevier Ltd. All rights reserved.

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