What is the method of closed reduction of femoral neck fracture

  The resetting technique begins with the patient lying flat on the surgical bed, and the fracture is repositioned under fluoroscopic x-ray imaging. The fracture repositioning process is divided into three steps: (1) release of insertion; (2) repositioning; and (3) reconstruction.  In the first step, unplug. First, traction is applied laterally (a towel can be wrapped around the upper thigh for freehand traction), traction force is gradually increased, and then longitudinal traction is applied (traction can be performed with an orthopedic traction bed) to release the fracture from insertion at the broken end.  Step 2: Reset. While implementing the bidirectional traction in the first step, the lower extremity is internally retracted and internally rotated, usually by 40C45°, with a large individual variability in the angle of internal rotation, depending on the intraoperative fluoroscopy. Under lateral fluoroscopic images, a 180° fracture alignment should be achieved, and if a 160-180° fracture alignment cannot be achieved, incisional repositioning should be considered.  Step 3, Reconstruction. Traction is gradually relaxed while the lower extremity is internally retracted and internally rotated. The lower extremity should remain free of traction while internal fixation is applied. The purpose of this step is to achieve positive support and external reduction while obtaining a lateral 180° fracture alignment.