Arthroscopy-assisted Reduction and Fixation of Valgus-Impacted Femoral Neck Fractures with Joystick Technique.

ABSTRACT: Valgus-impacted femoral neck fractures remain a challenging clinical entity. Associated deformities such as posterior tilt of femoral head, coxa valgus, and femoral neck shortening may produce femoroacetabular impingement, which adversely impacts on long-term joint function. Current reduction techniques face limitations: closed methods often fail to achieve satisfied reduction, open reductions require extensive soft-tissue dissection, and percutaneous joystick techniques are frequently fluoroscopy-dependent and imprecise. To address these problems, we describe a hip arthroscopy-assisted joystick reduction technique to achieve anatomical realignment. Under direct arthroscopic visualization, a Kirschner wire is precisely inserted into the femoral head to serve as joystick, allowing simultane

SUBMITTER: Li H 

PROVIDER: S-EPMC12541761 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature