Lawrenz Joshua M, Marshall Danielle C, Patterson Brendan M
Department of Orthopaedic Surgery, Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH.
OTA Int. 2019 Aug 2;2(4):e041. doi: 10.1097/OI9.0000000000000041. eCollection 2019 Dec.
We report the radiographic and clinical outcome of patients treated with an angled blade plate (ABP) for hip fracture nonunion. We also provide a review of the literature on joint preserving treatment approaches to hip fracture nonunions.
Retrospective, case series.
Tertiary academic hospital.
PATIENTS/PARTICIPANTS: Three.
We treated three patients with varied hip fracture nonunions using a joint preserving approach with an ABP.
Radiographic union and clinical outcome.
All three patients achieved radiographic union, and were ambulating without pain at final follow-up.
The treatment approach to hip fracture nonunions is either restorative (joint preserving) or reconstructive (joint replacing). The primary restorative approach to nonunions around the hip consists of revision open reduction and internal fixation with or without bone grafting. Though a variety of implants and treatment techniques have demonstrated excellent success in this setting, revision open reduction and internal fixation with an ABP remains an efficacious implant selection in hip nonunion surgery.
我们报告使用角钢板（ABP）治疗髋部骨折不愈合患者的影像学和临床结果。我们还对髋部骨折不愈合的保关节治疗方法的文献进行综述。
回顾性病例系列研究。
三级学术医院。
患者/参与者：3例。
我们采用ABP保关节方法治疗了3例不同类型的髋部骨折不愈合患者。
影像学愈合情况和临床结果。
所有3例患者均实现影像学愈合，末次随访时可无痛行走。
髋部骨折不愈合的治疗方法包括修复性（保关节）或重建性（关节置换）。髋部周围不愈合的主要修复方法包括切开复位内固定翻修术，可加或不加植骨。尽管多种植入物和治疗技术在这种情况下已显示出极佳的效果，但使用ABP进行切开复位内固定翻修术仍是髋部不愈合手术中一种有效的植入物选择。
