Fracture neck femur during COVID pandemic valgus reduction for osteosynthesis (inferior calcar buttress reduction)

Fracture neck femur following high velocity injury is likely to increase after resumption of vehicular traffic and other day to day activities including fall from height, sporting injuries etc. In this covid era, in a positive covid scenario in a patient, surgery should preferably be deferred till four weeks, by which time the “second cytokine storm” response settles down. In a covid negative scenario also, the patient subsequently developing covid positive is a definite possibility. In displaced unstable fracture neck femur, osteosynthesis can be contemplated because of factors present in the fracture and surgeon’s preference requiring emergency intervention since earliest surgical intervention will prognosticaly give better results in terms of union. This study emphasises on inferior calcar buttress reduction with positive cortical apposition and reverse triangular design of conventional cancellous screw fixation as contributory factors to sustainable reduction and union.