Finite Element Analysis Investigating the Impact of Positive Reduction on Femoral Neck Fracture

Introduction: Achieving an anatomic reduction is paramount in the management of femoral neck fractures (FNFs), but can be challenging in certain cases. The concept of 'Gotfried positive reduction' represents an alternative strategy for addressing such complexities. This technique involves positioning the distal femoral neck fragment at the inferior medial edge of the proximal fragment in the anteroposterior (AP) view. However, it is noteworthy that in certain clinical scenarios, augmenting the Gotfried positive reduction may lead to internal fixator failure and potentially induce hip varus.The aim of this study is to analyze the effect of Gotfried's positive reduction on the FNF with different Pauwels angles.