Nonanatomical Reduction of Displaced Subcapital Femoral Fractures (Gotfried Reduction)

Abstract

Summary: 

The purpose of this presentation is to describe the Gotfried (nonanatomical) reduction technique of unstable subcapital femoral fractures. In addition, to report, retrospectively, on the radiological outcomes of displaced subcapital femoral fractures reduced with the Gotfried reduction method. The technique involves creation of a positive buttress between the proximal and distal fracture parts to prevent future reduction deterioration once fracture line bone resorption takes place as well as reduction in valgus. Presented are unstable Garden 3/4 cases, 4 cases stabilized with the Physiological Hip Nail, and 1 with the PC.C.P plate. No radiological signs of fracture redisplacement, nonunion, or AVN were detected at a follow-up minimum of 12 months. Results of this technique are encouraging. Larger scale and multiple studies are needed to confirm the value of this new reduction method.