{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:39Z","timestamp":1787755179712,"version":"build-2784847793"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.01009","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T15:27:36Z","timestamp":1631892456000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Gunshot Fracture of the Femoral Neck: Internal Fixation and Immediate Proximal Femoral Valgus Osteotomy"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6477-5700","authenticated-orcid":false,"given":"Gregory M.","family":"Georgiadis","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, ProMedica Toledo Hospital, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5358-9515","authenticated-orcid":false,"given":"Kyle A.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9883-2910","authenticated-orcid":false,"given":"Roberta E.","family":"Redfern","sequence":"additional","affiliation":[{"name":"Research Department, ProMedica Toledo Hospital, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"10","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1097\/BOT.0b013e3181cf03ea","article-title":"Civilian gunshot wounds of the hip and pelvis","volume":"24","author":"Bartkiw","year":"2010","journal-title":"J Orthop Trauma."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/00003086-200303000-00012","article-title":"Current treatment of gunshot wounds to the hip and pelvis","volume":"408","author":"Zura","year":"2003","journal-title":"Clin Orthop Relat Res."},{"issue":"5","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"286","DOI":"10.5435\/JAAOS-21-05-286","article-title":"Transabdominal gunshot wounds to the hip and pelvis","volume":"21","author":"Miller","year":"2013","journal-title":"J Am Acad Orthop Surg."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1097\/00005373-199011000-00003","article-title":"Gunshot injuries to the hip and abdomen: the association of joint and intra-abdominal visceral injury","volume":"30","author":"Becker","year":"1990","journal-title":"J Trauma."},{"issue":"11","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.3928\/0147-7447-19921101-10","article-title":"Concomitant injuries of the hip and abdomen resulting from gunshot wounds","volume":"15","author":"Brien","year":"1992","journal-title":"Orthopedics."},{"issue":"6","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/j.amjsurg.2010.03.014","article-title":"Nonoperative management of pelvic gunshot wounds","volume":"201","author":"Navsaria","year":"2011","journal-title":"Am J Surg."},{"issue":"3","key":"bib8-20240805","first-page":"577","article-title":"Management of gunshot pelvic fractures with bowel injury: is fracture debridement necessary?","volume":"71","author":"Rehman","year":"2011","journal-title":"J Trauma."},{"issue":"3","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/BOT.0b013e3181ea5cb9","article-title":"The role of debridement in low velocity civilian gunshot injuries resulting in pelvis fractures: a retrospective review of acute infection and inpatient mortality","volume":"25","author":"Watters","year":"2011","journal-title":"J Orthop Trauma."},{"issue":"3","key":"bib10-20240805","first-page":"135","article-title":"Gunshot wounds to the hip: doomed to failure?","volume":"29","author":"Zhang","year":"2020","journal-title":"J Surg Orthop Adv."},{"key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0030-5898(20)31974-X","article-title":"Management of civilian gunshot injuries to the hip","volume":"26","author":"Long","year":"1995","journal-title":"Orthop Clin North Am."},{"issue":"3","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"2309499019873113","DOI":"10.1177\/2309499019873113","article-title":"Total hip arthroplasty after hip joint gunshot injury","volume":"27","author":"Pazarci","year":"2019","journal-title":"J Orthop Surg."},{"issue":"12","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"e1549","DOI":"10.3928\/01477447-20131120-21","article-title":"Posttraumatic arthritis from gunshot injuries to the hip requiring a primary THA","volume":"36","author":"Naziri","year":"2013","journal-title":"Orthopedics."},{"issue":"8","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.2106\/00004623-200408000-00015","article-title":"Operative treatment of femoral neck fractures in patients between the ages of 15 and 50 years","volume":"86","author":"Haidukewych","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"15","DOI":"10.2106\/00004623-199401000-00003","article-title":"Outcomes after displaced fractures of the femoral neck. A meta-analysis of one hundred and six published reports","volume":"76","author":"Lu-Yao","year":"1994","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"689","DOI":"10.2106\/00004623-197658050-00020","article-title":"Femoral-neck fractures in young adults","volume":"58","author":"Protzman","year":"1976","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib17-20240805","doi-asserted-by":"crossref","first-page":"837","DOI":"10.2106\/00004623-198466060-00003","article-title":"Fractures of the femoral neck in patients between the ages of twelve and forty-nine","volume":"66","author":"Swiontkowski","year":"1984","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib18-20240805","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.injury.2014.10.010","article-title":"Complications following young femoral neck fractures","volume":"46","author":"Slobogean","year":"2015","journal-title":"Injury."},{"issue":"4","key":"bib19-20240805","first-page":"499","article-title":"Intertrochanteric osteotomy in non-union of femoral neck fractures","volume":"11","author":"Kostuik","year":"1968","journal-title":"Can J Surg."},{"issue":"5","key":"bib20-20240805","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1302\/0301-620X.71B5.2584247","article-title":"Intertrochanteric osteotomy for non-union of the femoral neck","volume":"71","author":"Marti","year":"1989","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib21-20240805","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/S0030-5898(20)31516-9","article-title":"Pauwels osteotomy for nonunions of the femoral neck","volume":"21","author":"Ballmer","year":"1990","journal-title":"Orthop Clin North Am."},{"issue":"2","key":"bib22-20240805","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/00005373-199902000-00019","article-title":"Treatment of femoral neck nonunions with a sliding compression screw: comparison with and without subtrochanteric valgus osteotomy","volume":"46","author":"Wu","year":"1999","journal-title":"J Trauma."},{"issue":"8","key":"bib23-20240805","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/j.injury.2006.02.045","article-title":"Valgus osteotomy for non-union of femoral neck fracture","volume":"37","author":"Min","year":"2006","journal-title":"Injury."},{"issue":"6","key":"bib24-20240805","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1590\/1413-785220152306148750","article-title":"Femoral neck non-union treatment by valgus intertrochanteric osteotomy","volume":"23","author":"Schwartsmann","year":"2015","journal-title":"Acta Ortop Bras."},{"issue":"1","key":"bib25-20240805","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4103\/0019-5413.143909","article-title":"Treatment of neglected femoral neck fracture","volume":"49","author":"Jain","year":"2015","journal-title":"Indian J Orthop."},{"issue":"8","key":"bib26-20240805","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1007\/s00264-009-0885-z","article-title":"Valgus intertrochanteric osteotomy with single-angled 130 degree plate fixation for fractures and non-unions of the femoral neck","volume":"34","author":"Said","year":"2010","journal-title":"Int Orthop."},{"issue":"5","key":"bib27-20240805","doi-asserted-by":"crossref","first-page":"301","DOI":"10.5312\/wjo.v7.i5.301","article-title":"Valgus osteotomy for nonunion and neglected neck of the femur fractures","volume":"7","author":"Varghese","year":"2016","journal-title":"World J Orthop."},{"key":"bib28-20240805","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1749-799X-8-4","article-title":"Valgus sliding subrochanteric osteotomy for neglected fractures of the proximal femur; surgical technique and a retrospective case series","volume":"8","author":"Gavaskar","year":"2013","journal-title":"J Orthop Surg Res."},{"key":"bib29-20240805","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/BOT.0b013e3181bdc2c3","article-title":"Valgus osteotomy for delayed presentation of femoral neck fractures Pauwels Grade III","volume":"24","author":"Eid","year":"2010","journal-title":"J Orthop Trauma."},{"issue":"3","key":"bib30-20240805","first-page":"323","article-title":"Wedge osteotomy for fresh intracapsular fractures of the neck of the femur","volume":"129","author":"DePalma","year":"1949","journal-title":"J Bone Joint Surg."},{"issue":"1","key":"bib31-20240805","first-page":"22","article-title":"Immediate osteotomy for vertical fractures of the femoral neck","volume":"12","author":"Bernstein","year":"1951","journal-title":"Bull Hosp Joint Dis."},{"issue":"2","key":"bib32-20240805","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/0002-9610(51)90215-2","article-title":"End result study of McMurray osteotomy for acute fractures of the femoral neck","volume":"81","author":"Hudson","year":"1951","journal-title":"Am J Surg."},{"issue":"3","key":"bib33-20240805","first-page":"293","article-title":"Intertrochanteric valgus osteotomy and sliding compression screw in fractures of the femoral neck","volume":"17","author":"Fontanesi","year":"1991","journal-title":"Ital J Orthop Traumatol."},{"issue":"1","key":"bib34-20240805","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4103\/0019-5413.38580","article-title":"Unstable recent intracapsular femoral neck fractures in young adults: osteosynthesis and primary valgus osteotomy using broad compression plate","volume":"42","author":"Singh","year":"2008","journal-title":"Indian J Orthop."},{"issue":"suppl 1","key":"bib35-20240805","first-page":"253","article-title":"Resultats du traitement des fracture du col du femur par clou-plaque avec osteotomie. A propos d'une serie de 100 cas (Results of treatment of femoral neck fractures by nail-plate osteotomy. A series of 100 cases)","volume":"59","author":"Lapras","year":"1973","journal-title":"Rev Chir Orthop Reparatrice Appar Mot."},{"issue":"2","key":"bib36-20240805","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1302\/0301-620X.35B2.188","article-title":"The treatment of subcapital fractures of the neck of the femur with a nail-plate and wedge osteotomy","volume":"35-B","author":"McNeur","year":"1953","journal-title":"J Bone Joint Surg Br."},{"issue":"3","key":"bib37-20240805","first-page":"331","article-title":"Osteosynthesis of the femoral neck by nail-plate, screws, and valgus osteotomy","volume":"15","author":"Rotolo","year":"1989","journal-title":"Ital J Orthop Traumatol."},{"issue":"3","key":"bib38-20240805","first-page":"313","article-title":"Osteosynthesis with valgus osteotomy in the primary treatment of subcapital fractures of the neck of the femur","volume":"10","author":"Rinaldi","year":"1984","journal-title":"Ital J Orthop Traumatol."},{"issue":"9","key":"bib39-20240805","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1177\/0363546507299241","article-title":"Displaced stress fracture of the femoral neck treated by valgus subtrochanteric osteotomy: 2 case studies","volume":"35","author":"Diwanji","year":"2007","journal-title":"Am J Sports Med."},{"issue":"1","key":"bib40-20240805","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.injury.2004.02.017","article-title":"Osteosynthesis and primary valgus intertrochanteric osteotomy in displaced intracapsular fracture neck of femur with osteoporosis in adults","volume":"36","author":"Magu","year":"2005","journal-title":"Injury."},{"issue":"3","key":"bib41-20240805","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/0020-1383(79)90005-6","article-title":"Intertrochanteric displacement osteotomy in the treatment of femoral neck fracture","volume":"10","author":"Mishra","year":"1979","journal-title":"Injury."},{"issue":"suppl 1","key":"bib42-20240805","first-page":"S1","article-title":"Treatment of young femoral neck fractures","volume":"33","author":"Suman","year":"2019","journal-title":"J Orthop Trauma."},{"issue":"33 suppl 1","key":"bib43-20240805","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1097\/BOT.0000000000001366","article-title":"Femoral neck fractures in young patients: state of the art","author":"Chan","year":"2019","journal-title":"J Orthop Trauma."},{"issue":"suppl 1","key":"bib44-20240805","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.1097\/BOT.0000000000001370","article-title":"Reduction techniques for young femoral neck fractures","volume":"33","author":"Halvorson","year":"2019","journal-title":"J Orthop Trauma."},{"issue":"suppl 1","key":"bib45-20240805","first-page":"S20","article-title":"Technologies for young femoral neck fracture fixation","volume":"33","author":"DuffinPilson HT","year":"2019","journal-title":"J Orthop Trauma."},{"issue":"suppl 1","key":"bib46-20240805","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1097\/BOT.0000000000001365","article-title":"Biomechanics of femoral neck fractures and implications for fixation","volume":"33","author":"Augat","year":"2019","journal-title":"J Orthop Trauma."},{"issue":"suppl 1","key":"bib47-20240805","doi-asserted-by":"crossref","first-page":"S33","DOI":"10.1097\/BOT.0000000000001368","article-title":"Novel treatment options for the surgical management of young femoral neck fractures","volume":"33","author":"Levack","year":"2019","journal-title":"J Orthop Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.01009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:47Z","timestamp":1787751527000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.01009"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":46,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.01009","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}