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1General considerations

Sequence of the treatment

Pre-operative traction will be advantageous if the hip is subluxed medially.

For ORIF of transverse fractures with extended iliofemoral approach, the following surgical sequence is common:

  • Joint distraction and removal of incarcerated fragments
  • Reduction of femoral head dislocation if not achieved closed on admission
  • Reduction
  • Assessment of reduction (particularly of the anterior column indirect reduction)
  • Fixation of the posterior column
  • Fixation of the anterior column