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Femoral Neck Open Reduction And Internal Fixation

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Evolution of Femoral Neck Open Reduction And Internal Fixation

Historically they have treated with independent screws placed into the femoral neck, but this provides no compression to encourage bone healing. There have also been many plating systems, but these often require a large dissection that can put the blood supply to the femoral head at risk and may hasten osteonecrosis (bone death due to a lack of blood supply).

Soon there were specific plates like the Dynamic Hip Screw (DHS) that were used to provide compression across the fracture site to encourage bone healing. However, these had poor rotational control because the fragment in the hip joint could still rotate independently as the screw was advanced.

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