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Wayne County Reduction

- Discussion:
    - Medial cortical overlap technique;
    - Kaufer H, et. al. (1974);
    - Stover, et al. (1971)
    - For unstable intertroch frxs w/ sl medial or posterior instability;
    - Reduction w/o medical cortical apposition or overlap is unstable & will result in femoral neck shortening and varus displacement.
         - if mod-severe instability is present, must consider osteotomy;
         - Stable fixation of intertrochanteric fractures.
         - Open reduction of trochanteric fracture.
- Technique:
    - shaft of femur is displaced lateral to medial cortex of femoral neck thereby creating a butressing force to resist varus displacement;
    - proximal frag is medially displaced to create medial cortical overlap that resists femoral neck shortening and varus displacement

Biomechanical evaluation of anatomic reduction versus medial displacement osteotomy in unstable intertrochanteric fractures.