Gunshot Fracture of the Femoral Neck: Internal Fixation and Immediate Proximal Femoral Valgus Osteotomy: A Case Report

JBJS Case Connect. 2021 Sep 17;11(3). doi: 10.2106/JBJS.CC.20.01009.

Abstract

Case: We report on a 22-year-old patient with a comminuted femoral neck fracture because of a low-velocity gunshot wound. Treatment consisted of reduction and internal fixation with a fixed angled blade plate and immediate valgus osteotomy. He went on to uneventful healing and an excellent clinical result.

Conclusions: A comminuted gunshot femoral neck fracture in a young patient is a rare and potentially devastating injury. If stable, and there are no other associated emergent injuries, reduction, internal fixation, and immediate valgus osteotomy should be considered.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Femur Neck / surgery
  • Follow-Up Studies
  • Fracture Fixation, Internal
  • Humans
  • Male
  • Osteotomy
  • Wounds, Gunshot* / complications
  • Wounds, Gunshot* / diagnostic imaging
  • Wounds, Gunshot* / surgery
  • Young Adult