Hak David J, Mauffrey Cyril, Hake Mark, Hammerberg E Mark, Stahel Philip F
Orthopedics. 2015 Apr;38(4):247-51. doi: 10.3928/01477447-20150402-05.
Associated ipsilateral femoral neck fractures have been reported to occur in 1% to 9% of femoral shaft fractures. The associated femoral neck fracture is often nondisplaced, and the diagnosis is delayed or missed in up to one-third of cases. It is essential to carefully evaluate the femoral neck in all patients sustaining high-energy femoral shaft fractures. Although there are a number of different implant options available for management of this challenging injury, most authors recommend that priority be given to anatomic reduction and optimal stabilization of the femoral neck fracture because nonunion, malunion, or avascular necrosis of this injury is more difficult to successfully treat.
据报道，在股骨干骨折患者中，同侧股骨颈骨折的发生率为1%至9%。合并的股骨颈骨折通常无移位，在多达三分之一的病例中，诊断会延迟或漏诊。对于所有遭受高能股骨干骨折的患者，仔细评估股骨颈至关重要。尽管有多种不同的植入物可供选择来处理这种具有挑战性的损伤，但大多数作者建议，应优先对股骨颈骨折进行解剖复位和最佳固定，因为这种损伤的不愈合、畸形愈合或缺血性坏死更难成功治疗。
