Nagi O N, Gautam V K, Marya S K
J Bone Joint Surg Br. 1986 May;68(3):387-91. doi: 10.1302/0301-620X.68B3.3733802.
Twenty-six patients with femoral neck fractures were treated by open reduction, cancellous screw fixation and free fibular grafting. The patients were between 14 and 50 years of age. There were 16 old and 10 fresh fractures. Four patients had radiological signs of avascular necrosis before the treatment was instituted. Bony union was achieved in all patients except one, where the failure occurred because of a technical error. The patients were followed up for at least two years. No new case of avascular necrosis was detected after treatment, and there was clinical and radiological improvement in all four patients with pre-operative avascular necrosis.
26例股骨颈骨折患者接受了切开复位、松质骨螺钉固定及游离腓骨移植治疗。患者年龄在14至50岁之间。陈旧性骨折16例，新鲜骨折10例。4例患者在开始治疗前有股骨头缺血性坏死的影像学表现。除1例因技术失误导致治疗失败外，所有患者均实现了骨愈合。对患者进行了至少两年的随访。治疗后未发现新的股骨头缺血性坏死病例，术前有股骨头缺血性坏死的4例患者在临床和影像学上均有改善。
