Schoenfeld Andrew J, Vrabec Gregory A
Department of Orthopaedic Surgery, Akron General Medical Center, Northeastern Ohio, Universities College of Medicine, Tallmadge, 44278, USA.
J Orthop Trauma. 2006 Jul;20(7):485-91. doi: 10.1097/00005131-200608000-00006.
Femoral neck nonunions are a difficult complication in the treatment of femoral neck fractures and have traditionally been managed using an intertrochanteric valgus osteotomy and blade plate. We propose an alternative method, a proximal femoral valgus osteotomy using a sliding hip screw instead of a blade plate. This technique eliminates many of the difficulties experienced with the valgus osteotomy and blade plate by employing a device and instrumentation that is more familiar to orthopedic surgeons. The technique is reproducible and has been used successfully in a series of 4 patients.
股骨颈骨不连是股骨颈骨折治疗中的一个棘手并发症，传统上采用转子间外翻截骨术和接骨板进行处理。我们提出一种替代方法，即使用滑动髋螺钉而非接骨板进行股骨近端外翻截骨术。该技术通过采用骨科医生更为熟悉的器械，消除了外翻截骨术和接骨板所遇到的许多困难。该技术具有可重复性，已成功应用于4例患者。
