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September 5, 2025Hip & PelvisOpen Access

Outcomes of Reduction and Fixation versus In-situ Fixation for Valgus-impacted Femoral Neck Fractures: A Systematic Review

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Authors

JHJun-Young HeuJKJu-Yeong KimSLSe‐Won Lee

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Overview

Systematic review finds in-situ fixation may lead to FN shortening, while reduction improves hip scores.

Key Points

  • Reduction prior to fixation leads to better functional outcomes in valgus-impacted femoral neck fractures.
  • Postoperative Harris hip scores were significantly higher in the reduction group compared to in-situ fixation.
  • In-situ fixation resulted in significant femoral neck shortening regardless of screw configuration.
  • Patient selection is essential, especially in elderly patients where in-situ fixation can still be considered.

Cite This Study

Heu et al. (2025) studied this question.

synapsesocial.com/papers/68c239e5b210217d6477eb84https://doi.org/10.5371/hp.2025.37.3.178
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