Mathews Vasilios, Cabanela Miguel E
Lenox Hill Hospital, New York, NY, USA.
Clin Orthop Relat Res. 2004 Feb(419):57-64. doi: 10.1097/00003086-200402000-00010.
Femoral neck fracture nonunion is a challenging complication for the orthopaedic surgeon. The etiology of nonunion can be complicated and multifactorial. The diagnosis usually is established clearly with clinical and radiographic examinations. There are no clear guidelines for treatment, although multiple factors must be taken into account. Treatment options include refixation, solitary bone grafting, osteotomy (with and without bone grafting), and prosthetic arthroplasty. The relative indications, shortcomings, contraindications, and results of these different forms of treatment are discussed.
股骨颈骨折不愈合是骨科医生面临的一项具有挑战性的并发症。不愈合的病因可能复杂且具有多因素性。通常通过临床和影像学检查能明确诊断。尽管必须考虑多种因素，但目前尚无明确的治疗指南。治疗选择包括重新固定、单纯植骨、截骨术（带或不带植骨）以及人工关节置换术。本文讨论了这些不同治疗方式的相对适应证、缺点、禁忌证及治疗结果。
