Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture

Reduction quality is associated with fracture prognosis. Displaced subcapital femoral neck fracture has highest possibility of avascular necrosis of femoral head and non-union among the femoral neck fractures, which commonly necessitate revisions or hip replacement. This study introduces for the fir...

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Main Authors: Dajiang Du, Che Zheng, Mengxin Xue, Jiewei Chen, Yiyang Ma, Yun Gao, Changqing Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2025.1555752/full
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author Dajiang Du
Che Zheng
Mengxin Xue
Jiewei Chen
Yiyang Ma
Yun Gao
Changqing Zhang
author_facet Dajiang Du
Che Zheng
Mengxin Xue
Jiewei Chen
Yiyang Ma
Yun Gao
Changqing Zhang
author_sort Dajiang Du
collection DOAJ
description Reduction quality is associated with fracture prognosis. Displaced subcapital femoral neck fracture has highest possibility of avascular necrosis of femoral head and non-union among the femoral neck fractures, which commonly necessitate revisions or hip replacement. This study introduces for the first time of using hip arthroscope to directly visualize and assist the reduction of displaced subcapital femoral neck fracture when closed reduction is unsatisfactory. Due to the minimally invasive advantage of arthroscopic assistance, radiation exposure or intraoperative bleeding can be reduced, open reduction is avoided so that the blood supply of femoral head can be preserved. Through direct visualization, the complete removal of hematoma and fracture debris can be achieved, which is not possible with closed reduction, and can potentially reduce the risk of non-union during bone healing.
format Article
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institution DOAJ
issn 2296-875X
language English
publishDate 2025-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Surgery
spelling doaj-art-23f058ebbb834fbeb2e6d892431067a82025-08-20T02:53:44ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-04-011210.3389/fsurg.2025.15557521555752Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fractureDajiang DuChe ZhengMengxin XueJiewei ChenYiyang MaYun GaoChangqing ZhangReduction quality is associated with fracture prognosis. Displaced subcapital femoral neck fracture has highest possibility of avascular necrosis of femoral head and non-union among the femoral neck fractures, which commonly necessitate revisions or hip replacement. This study introduces for the first time of using hip arthroscope to directly visualize and assist the reduction of displaced subcapital femoral neck fracture when closed reduction is unsatisfactory. Due to the minimally invasive advantage of arthroscopic assistance, radiation exposure or intraoperative bleeding can be reduced, open reduction is avoided so that the blood supply of femoral head can be preserved. Through direct visualization, the complete removal of hematoma and fracture debris can be achieved, which is not possible with closed reduction, and can potentially reduce the risk of non-union during bone healing.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1555752/fullsubcapital femoral neck fracturearthroscopically assisted reduction and internal fixation (ARIF)reduction qualityminimal invasioncase
spellingShingle Dajiang Du
Che Zheng
Mengxin Xue
Jiewei Chen
Yiyang Ma
Yun Gao
Changqing Zhang
Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
Frontiers in Surgery
subcapital femoral neck fracture
arthroscopically assisted reduction and internal fixation (ARIF)
reduction quality
minimal invasion
case
title Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
title_full Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
title_fullStr Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
title_full_unstemmed Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
title_short Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
title_sort hip arthroscope assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture
topic subcapital femoral neck fracture
arthroscopically assisted reduction and internal fixation (ARIF)
reduction quality
minimal invasion
case
url https://www.frontiersin.org/articles/10.3389/fsurg.2025.1555752/full
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