Reverse obliquity femoral neck fractures: two case reports with a literature review

We were unable to find any prior description of a femoral-neck fracture whose inclination reaches or exceeds 90° while also failing every Gotfried cortical-support criterion. In the two patients presented, closed manipulation could not restore a stable reduction; instead, an anterior approach with open reduction and a screw-plus-medial-buttress construct produced solid union.

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Publication Details

Journal
Frontiers in Surgery
Published
2026-01-26
DOI
https://doi.org/10.3389/fsurg.2026.1731749
Primary Topic
Hip and Femur Fractures
Type
article
Field-Weighted Citation Impact
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article

Reverse obliquity femoral neck fractures: two case reports with a literature review

Jianming Huang, Haoyuan Liu, Hongjun Fu, Xiaolin Chen et al.
Frontiers in Surgery
Hip and Femur Fractures
article

Reverse obliquity femoral neck fractures: two case reports with a literature review

Jianming Huang, Haoyuan Liu, Hongjun Fu, Xiaolin Chen, Zheyuan Huang
article en

Abstract

We were unable to find any prior description of a femoral-neck fracture whose inclination reaches or exceeds 90° while also failing every Gotfried cortical-support criterion. In the two patients presented, closed manipulation could not restore a stable reduction; instead, an anterior approach with open reduction and a screw-plus-medial-buttress construct produced solid union.

Frontiers in SurgeryVol. 13
First Affiliated Hospital of Xiamen University (CN), People's Liberation Army 401 Hospital (CN), Xiangyang Hospital of Traditional Chinese Medicine (CN)
Gender equality
Openalex Percentile: Top 77%
Hip and Femur Fractures
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