Snyder S J, Sherman O H, Hattendorf K
Orthopedics. 1986 Nov;9(11):1553-7. doi: 10.3928/0147-7447-19861101-12.
Open reduction and internal fixation utilizing a full thickness fibular graft was performed on a patient who presented with a 9-year-old functional nonunion of a femoral neck stress fracture. During this period, the patient had remained fully ambulatory, with intermittent episodes of hip pain. Our experience indicates that the treatment of old, nonunited stress fractures of the femoral neck with a fibular bone graft and internal fixation contributes to a successful result, lending support while stimulating osteogenesis as the nonunion heals. Use of rigid internal fixation will eliminate motion at the site of the fracture, enhancing incorporation of the bone graft and, thereby, speeding the patient's recovery.
对一名股骨颈应力性骨折出现9年功能性骨不连的患者进行了切开复位并用全层腓骨移植进行内固定。在此期间，患者一直能够完全行走，但时有髋部疼痛发作。我们的经验表明，采用腓骨移植和内固定治疗陈旧性股骨颈不愈合应力性骨折可取得成功，在骨不连愈合过程中提供支撑并促进骨生成。使用坚强内固定可消除骨折部位的活动，促进骨移植融合，从而加快患者康复。
