Garden's 1971 study examines 323 consecutively healed subcapital femoral neck fractures to determine whether reduction quality — measured by a two-plane alignment index — predicts superior segmental collapse, and whether that collapse is truly caused by ischemia or may instead reflect a biomechanical response to joint incongruity.
Accept nothing less than anatomic reduction in subcapital femoral neck fractures. When you can't achieve perfect alignment, consider primary arthroplasty rather than accepting malreduction and hoping for the best.
Garden's 1971 study examines 323 consecutively healed subcapital femoral neck fractures to determine whether reduction quality — measured by a two-plane alignment index — predicts superior segmental collapse, and whether that collapse is truly caused by ischemia or may instead reflect a biomechanical response to joint incongruity.
Accept nothing less than anatomic reduction in subcapital femoral neck fractures. When you can't achieve perfect alignment, consider primary arthroplasty rather than accepting malreduction and hoping for the best.